Listener Survey
Answers marked with a * are required.
 
Your name?
 
 
 
How old are you? *





      

 
 
 
What is your gender? *
 
 
 
Marital Status? *



      

 
 
 
What is the TOTAL number of people living in your house? *



 
 
 
How many in your house are under the age of 18? *



 
 
 
Which one of the following best describes your educational level? *








      

 
 
 
Are you a homeowner? *




      

 
 
 
 
 

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