Please take a moment and fill out
the following survey. Your responses will help us to determine which speakers
and topics are of greatest interest to you, as well as planning your evening's
total entertainment experience. Thank you!
WHICH CITY
DOES YOUR INPUT APPLY TO?
Vancouver Toronto Edmonton
Chicago Denver Hartford Houston
Phoenix Portland Seattle
YOUR PERSONAL
PROFILE
Gender
Female Male
Age
18-25 25-30 31-35 36-40
41-45 46-50 51-60 60+
Marital Status
Married Single Separated Divorced Widow
Education
High
School Vocational Trade Community
College
Under
Graduate Graduate Masters Phd
Annual Family
Income
Up
to 35K 35-50K 50-75K 75-100K 100K+ N/A
Credit Card
/ Bank Card Usage
Visa MasterCard American
Express Discover
Diners
Club Other None Cash
/ Debit Card
Current Occupation
Zip Code
/ Postal Code
What Kind
of Car Do You Presently Drive?
What Kind
of Car Would You Like to Drive?
What are
the Top 3 Magazines You Read for Pleasure?
What Kind
of Computer Do You Presently Own?
Pentium
Pentium II Pentium III Pentium
4
MacIntosh Other None
How Do You
Connect to the Internet?
Compuserve AOL MSN Sympatico Rogers
Istar Local
Service Provider From
Work Not Sure
What is Your
Current Internet Connect Speed?
19.2
kb 28.8 kb 33.6
kb 56.2 kb (V.90, X2,
Kflex)
ISDN ADSL Cable Satellite T1 T3 Not
Sure
YOUR UNIQUE
LIVES EXPERIENCE
Have You
Attended Any Unique Lives Presentations?
Yes No
How Did You
Attend Unique Lives?
With
Friend With Business
Associate With Family
Member
As
Part of a Group Purchase By
Yourself
What Kind
of Unique Lives Tickets Were Purchased?
Series
Tickets Single Tickets VIP
Series
Were Your
Tickets a Corporate or Personal Gift?
Corporate
Gift Personal Gift (Friend
or Family)
What Speakers
and Issues Would You Like to See Presented?
