Exit this survey Family Table Please complete the very short survey below to be entered into our contest to win a $200 gift certificate from Waiter on the Way. Must be 18 to enter. Question Title * 1. Please provide us with the following information so we can notify you if you are the contest winner. Name: ZIP: Email Address: Question Title * 2. Do you have children under the age of 18 living in your home? Yes No Sometimes Other (please specify) Question Title * 3. Please tell us your age range: 18 - 24 years old 25 - 29 years old 30 - 34 years old 35 - 39 years old 40 - 49 years old 50 - 59 years old Over 60 years old Next