Your
Age:
18-24
25-34
35-44
45-54
Over 55
Are
you a:
Mom
Dad
Grandmother
Grandfather
None Apply
The
age(s) of
your children
(check
all that apply)
Do
you have a website
for your child?
Yes
No
Would like one
Not applicable
How
much time do
you spend online a week?
Less than 1 hour
1 - 2 Hours
3 - 5 Hours
6 - 10 Hours
11 - 20 Hours
More than 20 Hours
How
many online purchases have you made in the
last month?
One
2 - 4
More than 4
None
Your
Occupation:
Stay At Home Parent
Work At Home Parent
Work Full-time Outside Home
Work Part-time Outside Home
Your
total annual
household income:
Less than $20,000
$20,000 - $34,000
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
More than $100,000
Prefer not to Answer
Your
level of Education
Some Highschool
Highschool Graduate
Some College
College Graduate
Post Graduate Degree
Prefer not to answer
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or Suggestions:
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