Online Customers
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100%
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1
. What is your email address?
What is your email address?
2
. Are you male or female?
Are you male or female?
Male
Female
3
. Which category below includes your age?
Which category below includes your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
4
. Which of the following categories best describes your employment status?
Which of the following categories best describes your employment status?
Employed, working 1-39 hours per week
Employed, working 40 or more hours per week
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled, not able to work
Other (please specify)
5
. Are you now married, widowed, divorced, separated, or never married?
Are you now married, widowed, divorced, separated, or never married?
Married
Widowed
Divorced
Separated
Never married
6
. How much money did YOU personally earn in 2010? This includes money from jobs; net income from business, farm, or rent; pensions; dividends; interest; social security payments; and any other money income received by YOU. Please report the total amount of money you earned - do not subtract the amount you paid in taxes or any deductions listed on your tax return.
How much money did YOU personally earn in 2010? This includes money from jobs; net income from business, farm, or rent; pensions; dividends; interest; social security payments; and any other money income received by YOU. Please report the total amount of money you earned - do not subtract the amount you paid in taxes or any deductions listed on your tax return.
$0 - $9,999
$10,000 - $19,999
$20,000 - 29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $59,999
$60,000 - $69,999
$70,000 - $79,999
$80,000 - $89,999
$90,000 - $99,999
$100,000 or More
7
. Do you make on-line purchases?
Do you make on-line purchases?
Yes
No
8
. What type of customer are you?
What type of customer are you?
Not Currently A Customer
Home Delivery
Ticketmaster
Chocolate Shop
Newsagent
Intralot
9
. What would you purchase from The Seymour Street Newsagency online?
What would you purchase from The Seymour Street Newsagency online?
Stationery
Magazines
Lottery Tickets
Books
Chocolates/ Hampers
Gifts
Greeting Cards
10
. Why do you purchase on-line?
Why do you purchase on-line?
Convenience
Range
Price
Not available otherwise
Other (please specify)
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