Thank You for Taking Our Survey
This will be a great help in keeping the Planet Going!!
 Remember, don't answer anything you don't want to. We will not use any information you provide for any reason other than to compile a statistical model of our readers. If you provide your phone or email address we will only contact you if you are selected to win the restaurant gift certificate.

1. Your Name

2. What town or city do you live in?

3. Are you male or female?

4. What is your highest level of education, grade school, high school, 2 year college, 4 year college, advanced degree?

5. How many people live in your home?
(ex 2 adults 27 children)

6. What are the ages of the people that live in your home?

7. How many males and females live in your home?

8. Do you share the Planet with others?

9. How long have you been reading the Planet?

10. Why did you pick up the Planet today? (ex. bored)

11. Would you pick up the Planet again?

12. Why or Why not?

13. What make of cars does your family own?

14. What is your household income?

15. Do you have any suggestions as to how we can make the Planet better, or any comments?

That’s it, thank you for your time. If you include your phone number or email address we will contact you only if you win the gift certificate!

Phone
Email 

 

 


 

 

 

 

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