1. Age:
18-24
25-34
35-44
45-54
55-60
60 and older
2. Sex:
Female
Male
3. Where do you live?:
City:
State:
Non US
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
/ Postal code:
Country:
4. Education:
High School College Grad School School of Life
5. Marital Status:
Married Divorced Single Widowed
6. Total Household Income:
Under $35,000 $35,000 - $49,000 $50,000 - $70,000 $70,000 - $99,000 Over $100,000
7. Number of Children:
None
8. Do you have children under age 18 living with you?
Yes
No
9. How do you access the internet? At the office At home At a friends Blackberry or other device At the library
10. Do you own a car? Yes No
11. Do you own a cell phone? Yes No
12. Do you own an IPOD or its equivalent?
Yes No
13. Have you ever read Audrey’s columns?
Yes No
14. If yes, which publication?
15. What are your areas of interest? (Please select all that apply)
Beauty and Personal Care Fitness Nutrition and Health Fashion and accessories Services Spas and Salons Personal Growth Events Spirituality Travel Home Entertaining Shopping Personal Finance Crafts People Books Culture Gift Guides
16. What prize would you prefer to win? (Choose your top two)
Appliances Luggage Cosmetics Fragrances Lingerie Artwork Dinner for two Jewelry Designer Clothing Other
17. What would be your dream weekend getaway? (Choose your top two)
Spa Disney World The Mountains New York Dinner and Theater A Trip to Los Angeles Beach Resort Ski Vacation Family Camping Trip Log Cabin Other
18. How did you hear about us?
Friend Newspaper ad Radio E-mail Postcard Not Sure
19. Did you find the information provided on the site useful or interesting?
Yes, very interesting Somewhat Not at all
20. What category of information would you like to see expanded on THE ADAMS REPORT site?
Health & Beauty Health Beauty Products & Services Lifestyle Your Money Travel Your Home People & Resources Events Broadcast TALK! with AUDREY Profiles Other (please specify)
