Please fill out this short survey to be entered to win 2 tickets to the MVC Men's Basketball tourney. Brought to you by Allied Physicians and Weight Loss

1. Which of the following best describes your relationship with Southern Illinois Athletics?

2. Do you live or work within 30 miles of Carbondale, Illinois?

3. What is your age?

4. Which of the following issues have you had during the past 6 months? (Select all that apply)