Your
Sex *
Male
Female
Your
Age *
under 18
18-24
25-34
35-44
45-54
55 or older
Marital
Status
single
engaged
married
seperated
divorced
widowed
living Together
Household
Income
#content#-,999
-49,999
-74,999
-99,999
0-149,999
0-199,999
0-9,999
0,000+
Who Is
The Primary decision maker in your family?
Myself
My Spouse
Other
Your
Education
GED
Highschool
Some College
Associate's Degree
Bachelor's Degree
Graduate Degree
Do
you have children? (please select all that apply)
Yes, Age 0-1 year
Yes, Age 1-2 years
Yes, Age 2-3 years
Yes, Age 4-5 years or older
I Am Expecting - I am in my 1st Trimester
I Am Expecting - I am in my 2nd Trimester
I Am Expecting - I am in my 3rd Trimester
No, but I plan to have children
How
Long Have You Been On The Internet?
30 days or less
1-6 months
6-12 months
1-2 years
2-5 years
more than 5 years
Do
you use the Internet to gather purchasing information?
yes
no
no, but I have purchased off the 'Net before
Do
you PLAN to purchase off the 'Net during the NEXT 12 months?
yes
no
You
have purchased OR plan to purchase on the Internet (select
all that apply)
baby items
books / e-books / magazines
music / movies
gardening items
clothes / shoes / accessories
beauty / bath / perfumes
aromatheraphy / new age / astrology
software / hardware
games / sports related
travel related
toys
auction / collectibles
health / fitness / weight loss
banking / investments / insurance services
food / wine / cooking / gourmet
Why
do you go online (select all areas of interest that apply.)
check email
be entertained (jokes, cartoons, astrology, etc.)
visit chatrooms / message boards / online communities
for research / education / advice
get info for health or fitness issues
to research travel plans
to research purchasing or leasing info
to shop or bid in auctions
download software / hardware / technology news
to download music files
to get news or weather info
What
prizes would you like to win in contests or sweepstakes? (select
all that apply.)
flowers / chocolates / gift baskets
beauty / bath / aromatherapy
jewelry
telephone cards
books or magazines
music / movies
personal ads / dating services memberships
romantic advice, games, enhancement items
health / fitness / weight loss
games / sports related
software / hardware
travel related
cars
gift certificates