*1.Contact Info(Required.)

Name

Phone

E-mail

Age

City You Live

State You Live

*2.How do you identify?(Required.)

a. Woman

b. Non-binary

c. Man

Prefer to self-describe

*3.In the last 30 days, have you purchased an item or items online or in person that you prepared to purchase in advance?

NOT REQUIRED - INFO ONLY(Required.)

Yes

No

4.If yes (others skip) What category of purchase was this item or items?

Clothes

Shoes

Jewelry / Accessories

Makeup / Skincare

Decoration or furnishing for my home

Furniture

Essentials (ex. food, gas)

Living expenses (ex. bills, rent)

Services (ex. haircut, babysitting, massage)

Something for my hobby / entertainment

Something else for my home / apartment / room

Something else for school or work

Something else for my car / commute

Other (please specify)