EarthxTV Viewer Feedback Question Title * 1. Name Question Title * 2. Email Address Question Title * 3. Age Range 15 - 18 19 - 25 26 - 35 36 - 49 50+ Question Title * 4. Where do you live? Question Title * 5. What is your gender? Question Title * 6. What is your occupation? Question Title * 7. Annual Income Level Less than $35,000 Less than $50,000 Less than $75,000 Less than $100,000 Less than $250,000 Question Title * 8. What is the name of the program and episode you watched? Question Title * 9. Did you enjoy the program? Yes No Somewhat Question Title * 10. Were the speakers interesting/engaging? Yes No Somewhat Question Title * 11. Would you recommend this program to a friend/family member? Yes No Question Title * 12. Did you learn anything new from the program? Yes No Question Title * 13. Did the program inspire you to make changes in your own life or take action? Yes No Question Title * 14. Would you be interested in learning more about EarthxMembership? No Yes (please share your email) Question Title * 15. Any additional information you would like to share? Done
