The Upper Canadian Antique Showcase Readership Survey
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1. Please Tell Us About You
1
. Please fill in your contact information.( so we can enter you in the draw!)
Please fill in your contact information.( so we can enter you in the draw!)
Name:
Company:
Address:
Address 2:
City/Town:
Province/State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. If you are a subscriber, please enter your record number.
This number is found on your address label above your name.
If you are a subscriber, please enter your record number. This number is found on your address label above your name.
3
. Gender
Gender
Male
Female
4
. Age Range
Age Range
20 - 29
30 - 39
40 - 49
50 - 59
60 - 65
over 65
5
. Approximate Annual Household Income
Approximate Annual Household Income
Less than $35K
$35K - $50K
$50K-$75K
$75K-$100K
Over $100K
6
. Level of formal education reached to date:
Level of formal education reached to date:
7
. Are you?
Are you?
Employed
Self Employed Professional
Self Employed - Small/Medium Business
Owner of a Large Corporation
Retired
Other (please specify)
8
. If your employment is/was in the antiques trade, which best applies?
If your employment is/was in the antiques trade, which best applies?
Dealer
Show Promoter
Auctioneer
Other (please specify)
9
. Do you own or lease your vehicle? More than one? Indicate all that apply.
Do you own or lease your vehicle? More than one? Indicate all that apply.
Own your vehicle
Lease your vehicle
Own your second vehicle
Lease your second vehicle
10
. Do you own your home or rent? Do you own or rent a second home? Indicate all that apply.
Do you own your home or rent? Do you own or rent a second home? Indicate all that apply.
Own home/condo
Rent home/condo
Own second home/vacation property
Rent second home/vacation property
11
. How would you describe your relationship with antiques? Indicate all that apply.
How would you describe your relationship with antiques? Indicate all that apply.
One of many interests
Enthusiastic hobbyist
Committed collector
Investor for resale
Dealer/Promoter/Auctioneer
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