Downtown Atlanta Restaurant Week 2012

1. First Name

First Name

2. Last Name

Last Name

3. Home Street Address

Home Street Address

4. City, State ZIP

City, State ZIP

5. Email address

Email address

6. Gender

Gender   Male

Female

7. Age

Age   21 & under

23-34

35-44

45-54

55-64

65 & over

8. Annual Income Range

Annual Income Range   Under $20,000 $20K - 35K $35k-50K $50K-70K $70k-90K $90K-120K $120K-150K $150K-200K Over $200K Prefer not to say

9. I live

I live   Downtown Atlanta

Inside the perimeter but not Downtown

Outside the perimeter

10. I work

I work   Downtown Atlanta

Inside the perimeter but not Downtown

Outside the perimeter