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1.
How old are you?
(Required.)
Under 18
18-25
26-34
35-44
45-54
55-64
65+
2.
What is your gender?
Male
Female
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3.
What is your household's annual income?
(Required.)
Less than $10,000
$10,000 to $19,999
$20,000 to $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $69,999
$70,000 to $79,999
$80,000 to $89,999
$90,000 to $99,999
$100,000 or more
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4.
Which of the following best describes where you live?
(Required.)
Rural
Suburban
Urban
Not sure
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5.
Which of the following best describes your computer skills?
(Required.)
Poor
Basic
Good
Advanced
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6.
What is the main thing you want to do with your website? (If you don't have a website, what is the main thing you would want to do with one?)
(Required.)
Make Money
Share Pictures/Videos
Start a Blog
Collect Email Addresses
Create a Personal Site About Yourself
Other (please specify)
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7.
Where do you live?
(Required.)
United States
Canada
India
United Kingdom
Australia
Other (please specify)
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8.
If you live in the US, which of the following best describes where you live?
(Required.)
Southwest
Midwest
Southeast
Northeast
West
I do not live in the United States
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9.
What is your race?
(Required.)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Prefer Not to Answer
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10.
What is your ethnicity?
(Required.)
Hispanic or Latino
Not Hispanic or Latino
Prefer Not to Answer
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11.
What is your employment status?
(Required.)
Employed
Self-employed
Out of work and looking for work
Out of work but not currently looking for work
Homemaker
Student
Retired
Unable to Work
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12.
What is the highest level of education you've completed?
(Required.)
Some High School
High School Graduate or Equivalent
Trade or Vocational Degree
Some College
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
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13.
What is your marital status?
(Required.)
Single, Never married
Living with Someone, Not Married
Married
Separated
Divorced
Widowed
14.
What is your religious preference?
Protestant Christian
Roman Catholic
Evangelical Christian
Jewish
Muslim
Hindu
Buddhist
Atheist
Wiccan/Pagan/Druid
Other (please specify)
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15.
If you had a question about your Brain Host account or website, what would you do first?
(Required.)
Try to find the answer myself first.
Contact Customer Support right away.
Other (please specify)
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16.
Brain Host is a web host. Do you know what web hosting is?
(Required.)
Yes
No
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17.
Have you ever used any of the following? Check all that apply.
(Required.)
Brain Host's Knowledge Base
Brain Host's Training Videos
Site Building Center
Brain Host's Blog
Brain Host's Newsroom
None Of These
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18.
Do you know how to get in touch with Brain Host Customer Support?
(Required.)
Yes
No
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19.
Are you following Brain Host on any social media sites? Check all that apply.
(Required.)
Facebook
Twitter
YouTube
Google+
None
Other (please specify)
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20.
Which of the following types of computers do you own?
(Required.)
Mac
PC
Both
I do not own a computer.