More of Me to Love
Customer Questionnaire
 
Thank you for completing the More of Me to Love customer questionnaire. The answers to this survey will help us serve you better. For completing this survey, we will issue you a $5 gift certificate to the More of Me to Love Store.
The entire survey will take approximately five minutes to complete.
Thank you so much for your time!

Privacy Notice: All responses are anonymous. Your information is not tied to your name nor will it be shared publicly.
 
1. Where do you live? (Please note: address is not being requested. If provided, it will not be distributed)
City
State
Zip Code
 
 
 
2. How old are you?



 
 
 
3. How do you identify?
      
 
 
 
4. Please describe your sexual orientation.
      
 
 
 
5. Please select the group(s) that best describe(s) your race/ethnicity.
       		 
 
 
6. What do you do for a living?
 
 
 
7. What is your highest level of education?



 
 
 
8. Do you have children?
      
 
 
 
9. Which best describes your yearly household income?



 
 
 
10. What are your hobbies? Please list two or three.
 
 
 
11. How many hours of TV do you watch in one week?



 
 
 
12. Which television shows do you watch regularly (i.e. once a week or more)? Please list two or three.
 
 
 
13. Which magazines or newspapers do you read regularly? Please list two or three.
 
 
 
14. How often (per month) do you browse the Internet with the intent to shop?



 
 
 
 
 

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