Customer Survey

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* 1. Are you male or female?

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* 2. What is your age?

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* 3. What is your marital status?

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* 4. How many children under 18 are living in your home?

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* 5. Do you own a pet?

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* 6. How would you describe the area in which you live?

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* 7. How long have you been shopping in health food stores?

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* 8. How often do you shop in a health food store?

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* 9. On average, how much do you spend in a health food store per visit?

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* 10. Are gluten-free products important to you?

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* 11. Do you use probiotic products?

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* 12. What food and drink products do you purchase?

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* 13. How long have you been subscribing to Energy Times?

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* 14. How often do you buy organic food?

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* 15. What is the main reason that you shop in a health food store?

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* 16. What types of food do you purchase at a health food store?
(Check all that apply)

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* 17. What types of personal care products do you purchase at a health food store?
(Check all that apply)

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* 18. What types of supplements do you purchase at a health food store?
(Check all that apply)

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* 19. When shopping in a health food store, in which categories are you brand-specific?

  Always Sometimes Never
Frozen foods
Health & beauty
Herbs
Packaged foods
Soy products
Tea
Vitamins/minerals

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* 20. Do you belong to any organizations concerned with protecting the environment?

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* 21. How often do you exercise per week?

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* 22. What is your favorite Energy Times department?
(check all that apply)

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* 23. Which other health and nutrition magazines do you read regularly?

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* 24. Which of these lifestyle activities do you enjoy?
(Check all that apply)

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* 25. Which of the following hobbies do you enjoy? (Check all that apply)

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* 26. Which types of complementary healthcare do you use?
(Check all that apply)

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* 27. Please rate the importance of the following health topics to you.

  Very Important Somewhat Important Not Important
Allergies
Anti-aging
Arthritis
Cancer
Cholesterol
Depression
Diabetes
Digestion
Exercise
Fatigue
Heart
Hypertension
Immunity
Joint pain
Memory loss
Menopause
Migraines
Osteoporosis
PMS
Sleep disorders
Stress
Weight loss

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* 28. Have you ever purchased a product based on an advertisement in Energy Times?

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* 29. Have you or would you purchase any of the following?

  Yes No Maybe
Chemical-free lawn care
Energy-efficient lighting
Hybrid/alternative vehicle
Natural cleaning products
Organic bedding
Recycled products
Solar powered products
Water/air filtration products

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* 30. How long do you spend reading an issue of Energy Times?

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* 31. What do you do with your issue of Energy Times when you’re done with it?
(Check all that apply)

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* 32. Which of the following actions have you recently taken after reading articles and/or ads in Energy Times? (Check all that apply)

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* 33. Which best describes your body type?

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* 34. Which of the following spa treatments are you interested in?

  Have done Would like to Not
Aromatherapy
Facials
Hot stone therapy
Massage
Mudbath
Reflexology
Sauna/steam room

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* 35. What is your highest level of education?

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* 36. What is the combined gross income of your household?

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* 37. Are you employed?

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* 38. Listed below are frequent subjects often found in Energy Times. Please rate how important each is to you.

  Very important Somewhat important Not important
Alternative medicine
Beauty
Environment
Herbs
Holistic health
Natural products
Nutrition
Politics
Recipes
Sports/fitness
Vitamins

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* 39. Do you own a computer with internet access?

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* 40. Approximately how much time do you spend on the internet per week?

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* 41. Have you visited www.energytimes.com?

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* 42. If yes, have you purchased any products or received any information from advertisers?

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* 43. Do you prefer the digital or print version of energy times?

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* 44. Optional Info

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* 45. Required Info

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