Exit this survey Jeffknight.com Intake Survey Question Title * 1. What inspires you? Question Title * 2. Which of the following best describes your current relationship status? Married Widowed Divorced Separated In a domestic partnership or civil union Single, but cohabiting with a significant other Single, never married Question Title * 3. Describe your best day? Question Title * 4. How much total combined money did all members of your HOUSEHOLD earn last year? $0 to $9,999 $10,000 to $24,999 $25,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $174,999 $175,000 to $199,999 $200,000 and up Prefer not to answer Question Title * 5. What words would you use to describe your problems? Question Title * 6. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) Question Title * 7. What format do you mostly consume media? Written Audio Video Question Title * 8. In what year were you born? (enter 4-digit birth year; for example, 1976) Question Title * 9. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Graduate degree Question Title * 10. What topics would you like to see covered at jeffknight.com? Question Title * 11. How can I, Jeff, through Jeffknight.com, add value to your life? Done
