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Name: (optional)
E-mail:
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GENDER
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Male
Female
Transgender
ZIP CODE:
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YOUR AGE:
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< 18
19-24
25-34
35-48
49-64
> 65
YOUR HH INCOME:
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<$25K
$26-50K
$51-75K
$76-100K $101-125K
>$125K
CHILDREN
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NONE
1
2
3
>3
PARTNER STATUS:
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Married
Single
Civil Union
Partner
COMPLETED EDUCATION
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SOME COLLEGE
COLLEGE GRAD
GRADUATE STUDIES
DOCTORAL WORK
Please complete this sentence and select all that apply. "In the last 12 months, I..."
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a) took a vacation
b) bought a new/used car
c) bought a home
d) purchased jewelry or a watch
e) attended Broadway/off-Broadway theatre
f) shopped in department store
g) bought a personal computer
h) purchased home entertainment items
i) bought furniture
j) visited a physician
k) acquired a pet
l) bought a mobile phone
I PLAN in the next 12 months to...
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a) taking a vacation
b) buying a new/used car
c) buying a home
d) purchasing jewelry or a watch
e) attending Broadway/off-Broadway theatre
f) shopping in department store
g) buying a personal computer
h) purchasing home entertainment equipment items
i) buying furniture
j) acquiring a pet
k) buying a mobile phone
I have in the past 12 months bought...
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a) a movie ticket
b) insurance
c) financial planning advice or software
d) a meal at a restaurant
I PLAN in the next 12 months buy
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a) a movie ticket
b) insurance
c) financial planning advice or software
d) a meal at a restaurant
Click ALL that apply
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a) I own a car
b) I belong to a gym or fitness center
c) I own a home
d) I own a pet
e) I own a personal computer
e) I own a mobile phone
Check all that apply. "I read..."
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Downtown Express print edition
Downtown Express web edition
The Villager print edition
The Villager web edition
Thrive print edition
Thrive web edition
GCN print edition
GCN web edition
Chelsea Now print edition
Chelsea Now web edition
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