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Möchten Sie sich Gehör verschaffen?
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
* Email Address : 
 
 
 
Was ist das Datum deines Geburtstages?
 
 
 
Wie oft nimmst du an Umfragen teil?
 
1 mal in der Woche
 
1 mal im Monat
 
gelegentlich
 
selten
 
nie
 
 
 
Warum nimmst du an Umfragen teil?
 
Um Vorteile wie z. B. Währung in einem Spiel oder Sonderangebote zu erhalten.
 
Um zu erfahren, wofür sich die Herrausgeber der Umfrage interessieren.
 
Other
 
 
 
 
Was für eine Art Kreditkarte besitzt du/hast du besessen?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club
 
Andere
 

 
 
Wie zufrieden sind Sie mit:
Sehr unzufrieden unzufrieden Neutral zufrieden sehr zufrieden Weiß nicht
Webseite
Kundendienst
Gesamteindruck
 
 
 
How many children do you have?
 
no children
 
1 child
 
2 children
 
3 children
 
more than 4 children
 
 
 
How would you describe yourself?
 
Democratic
 
Republican
 
Independent
 
None of the above
 
 
 
Please select your Hobbies and Interest
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other

 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is the highest level of education you have achieved?
 
Less than high school degree
 
High school degree or equivalent (e.g. GED)
 
Some college but no degree
 
Associate degree (e.g. AA, AS)
 
Bachelor's degree (e.g. BA, AB, BS)
 
Master's degree (e.g. MA, MS, MBA)
 
Professional degree (e.g. MD, DDS, JD)
 
Doctorate degree (e.g. PhD)
 
 
 
What is your favorite hobby or interest?
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other
 
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