READERSHIP STUDY
Thank you for your input. By learning more about you we are able to help assist your needs in future additions. Please take a few moments to complete the following survey!
Do you use a wireless phone?
Yes
No
If yes, which wireless company do you use?
Select...
ATT Wireless
Cingular
Cricket
Nextel
Qwest
Sprint
T-Mobile
Verizon
Other
Gender:
Male
Female
Age:
Select...
Under 18
18-24
25-34
35-44
45-54
55-65
Over 65
Employment Status:
Select...
Full-Time
Part-Time
Homemaker
Not Employed (Looking for work)
Retired
Student
Other
Occupation:
Select...
Craft / Tradesman
Farming / Forestry
Managerial / Professional
Operator / Laborer
Other Occupation
Service Worker
Technical / Sales / Admin
Household Income:
Select...
Over $50,000
$25,000 to $50,000
Under $25,000
Are there children in the household?
Yes
No
Home Ownership?
Yes
No
Do you dine out weekly?
Yes
No
Do you own an automobile?
Yes
No
If yes, do you or your spouse perform any of your own light mechanical?
Yes
No
Copyright © 2003 MoTER Directories, Inc. All Rights Reserved