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Email Address *
Email Format * -Text/Don't Know     -HTML
First Name *
Last Name *
City *
State/Province *
If state not on menu, select "Other" and fill in box.
ZIP/Postal Code *
Country *
Which of the following best defines your level of computer expertise. Select 1-5, with 1 being a novice and 5 a "power user." *
Gender? *
Age? *
Geographic location? (Answer only if you live in the USA)
What is the last year of formal education you completed? *
Annual household income? *
Which of the following to you own or do? Please check all that apply:
(This is the only long question) *
-Camera: 35mm
-Camera: Digital Still
-Camera: Digital Video/Camcorder
-CD Player (not in computer)
-CD Recorder/Burner (not in computer)
-Cellular or Mobile Phone
-Computer: Laptop
-Computer: Monitor with flat panel
-Computer: Macintosh
-Computer: Windows
-Computer Printer - Inkjet
-Computer Printer - Laser
-Computer Scanner
-Computer: CD Recorder/Burner (installed in PC)
-Computer: CD Recorder/CD-RW (installed in PC)
-Computer: CD ROM
-Computer: DVD Player (installed in PC)
-Dedicated Game Console (SEGA, Nintendo, Playstation, etc.)
-Dolby Digtal/DTS Receiver
-DVD Player (not in computer)
-DVD Recorder
-Entertainment: Attend classical music or opera at least 2x/yr
-Entertainment: Attend live plays at least 2x/yr
-Enterntainment: Attend rock concerts at least 2x/yr
-Entertainment: Read around 1 book/month
-Fax Line
-GameBoy-style palm sized video game system
-Internet Activity: Auctions
-Internet Activity: Download Music
-Internet Activity: Financial transactions
-Internet Activity: Internet Radio
-Internet Activity: Personal Web Site
-Internet Activity: Shopping
-Internet Activity: Stocks, Investment Info
-Internet Activity: Travel, Airline, Hotel, Car Rental
-Internet Connection: DSL, Cable, Modem
-Internet Connection: DSL/Cable Wireless Router
-MP3 Software/Recording System
-Music: Surround-sound Receiver
-Pager
-PDA (Personal Digital Assistant - Palm Pilot, etc.)
-Personal Portable Stereo (i.e., CD/MP3, Walkman, Discman)
-Pets: Cat
-Pets: Dog
-Pets: Other
-Radio: Satellite, XFM
-Sound Card
-Sports: Boat, ATV, RV, Snowmobile, Jetski
-Sports: Fishing
-Sports: Golf
-Sports: Hunting
-Sports: Play Sports, Exercise Regularly
-Sports: Skiing, Snowboarding
-Tivo PVR (Replay/other digital personal video recorder)
-TV : On PC
-TV: Cable
-TV: Flat Panel Screen
-TV: HDTV (High Definition)
-TV: Home Entertainment Ctr with large screen TV
-TV: Satellite
-TV: Ultimate

 

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