Listener Survey
Answers marked with a * are required.
Who Are You?
Tell us about yourself! Personal information and email address is completely optional.
Your name?
How old are you?
*
13-17
18-25
19-35
36-50
50-75
75+
What is your gender?
*
Male
Female
Marital Status?
*
Single
Married
Divorced or Separated
Widowed
What is the TOTAL number of people living in your house?
*
1
2
3
4
5
6
7
8
9
10+
How many in your house are under the age of 18?
*
1
2
3
4
5+
Which one of the following best describes your educational level?
*
Some high school
GED
High School Diploma
Some College
Associates Degree (2-year school)
Bachelor's Degree (4-year school)
Master's Degree
Doctoral Degree
Other (Please Specify)
Are you a homeowner?
*
I rent an apartment
I rent a house
I own a condominium
I own a house
Other (Please Specify)
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