The Upper Canadian Antique Showcase Readership Survey
 

1. Please Tell Us About You

 

1. Please fill in your contact information.( so we can enter you in the draw!)

2. If you are a subscriber, please enter your record number.
This number is found on your address label above your name.

3. Gender

4. Age Range

5. Approximate Annual Household Income

6. Level of formal education reached to date:

7. Are you?

8. If your employment is/was in the antiques trade, which best applies?

9. Do you own or lease your vehicle? More than one? Indicate all that apply.

10. Do you own your home or rent? Do you own or rent a second home? Indicate all that apply.

11. How would you describe your relationship with antiques? Indicate all that apply.