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Customer Satisfaction Survey
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Web Site Visitor Survey
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Wufoo
Web Site Visitor Survey
How did you first learn of our web site?
Advertisement
Billboard
In store promotion
Email or Newsletter
News Story
Search Engine
Word of Mouth
Other
If other, please specify
What was your main reason for visiting our site?
Gather information
Curious
OTHER REASONS
Over 10 times
If other, please specify
What is your access speed to the Internet?
Dial-up
Cable
DSL
T1
T3
Don't Know
What browser do you use to access the Internet?
Internet Explorer
Firefox
Safari
Netscape
American Online
Opera
Other
What is your gender?
Male
Female
What is your age category?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
What is your combined annual household income?
Under $20,000
$20,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
$150,000 or more
Prefer Not to Answer
What is your zipcode?
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