EmailMe Form - SURESTICA'S BLOG Survey

SURESTICA'S BLOG Survey

Please answer the following questions.

How did you first learn of SURESTICA'S BLOG ?
Recommendation from a friend
Link from email our site sent you
Link from another Web site
TV
Radio
Newspaper
Magazine
Internet ad
Search engine results
Other
Please Specify
How many times in the last 30 days have you visited SURESTICA'S BLOG?
This is my first visit
Daily
A few times per week
Once per week
A few times per month
Once per month
Have not visited in the last 30 days
How likely are you to return to SURESTICA'S BLOG in the next 30 days?
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
What was your main reason for visiting SURESTICA'S BLOG ?
Please specify
What is your internet access speed?
56K
Cable
DSL or ISDN
T1
T3
Don't Know
Demographic Information
Age
Gender
State
Income
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