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We are looking for your input for 2019

Purchaser Information

Question Title

* 1. What is your age?

Under 18 years

18 to 24 years

25 to 34 years

35 to 44 years

45 to 54 years

55 to 64 years

Age 65 or older

Question Title

* 2. What gender do you identify yourself as?

Male

Female

Or fill in the blank (please specify)

Question Title

* 3. In what city do you live?

Other (please specify)