Wufoo
Normal Rockstar Reader Survey
I've been telling you about me for years and I feel like I know very little about you. Do me a favor and answer a few questions so that I can get to know you a little better!
How old are you?
*
Under 20
21-26
27-34
35-44
45-54
55-64
65 or Above
Gender
*
Male
Female
Marital Status
Single
Married
Divorced
Remarried
Other
Prefer not to answer
How many kids do you have?
None
1
2
3
4
More than 4 - I'm crazy!
Annual Household Income
Under $20,000
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $69,999
$70,000 - $99,999
$100,000 - $149,999
$150,000 or more
Prefer Not to Answer
Approximately, of course!
Education
High School or Less
Trade or Vocational School
Some College
Undergraduate College Degree
Graduate Degree
Prefer Not to Answer
How often do you visit Normal Rockstar?
Multiple times a day
Everyday
Once a week
2 to 3 times a month
Once a month
Less than once a month
Email Address
*
Web Site/Blog Address
Do Not Fill This Out
Do Not Fill This Out
