$200 Online Opinion Study

Question Title

* 1. Contact Information

Name

Phone

E-Mail

Gender

Age

State

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* 2. Which of the following internet enabled devices do you own & use to access the internet?

Laptop

Desktop

Smartphone

Tablet

None of the above

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* 3. Employment Status

Full time

Part time

Unemployed

Retired

Homemaker

Student

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* 4. Current or previous

occupation

industry

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* 5. How many hours do you spend online per week (excluding email)?

Less than 2

3-5

6+

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* 6. In the past 6 months, how many times have you paid any of the following types of bills by writing a check?

	Zero	1-3X	4-6X	Not Applicable - Dont Pay this Kind of Bill
Utility Bill	Utility Bill Zero	Utility Bill 1-3X	Utility Bill 4-6X	Utility Bill Not Applicable - Dont Pay this Kind of Bill
Auto Insurance Bill	Auto Insurance Bill Zero	Auto Insurance Bill 1-3X	Auto Insurance Bill 4-6X	Auto Insurance Bill Not Applicable - Dont Pay this Kind of Bill
Credit Card Bill	Credit Card Bill Zero	Credit Card Bill 1-3X	Credit Card Bill 4-6X	Credit Card Bill Not Applicable - Dont Pay this Kind of Bill
Cell Phone Bill	Cell Phone Bill Zero	Cell Phone Bill 1-3X	Cell Phone Bill 4-6X	Cell Phone Bill Not Applicable - Dont Pay this Kind of Bill
Rent/Mortgage	Rent/Mortgage Zero	Rent/Mortgage 1-3X	Rent/Mortgage 4-6X	Rent/Mortgage Not Applicable - Dont Pay this Kind of Bill