Sex:
Female
Male
Age:
16 years old or younger
17 to 18 years old
19 to 25 years old
26 to 35 years old
36 to 45 years old
46 to 55 years old
56 and older
Occupation (optional) :
Annual Income:
$0 to $10,000 a year
$10,001 to $25,000 a year
$25,001 to $50,000 a year
$50,001 to $100,000 a year
$100,001 to $250,000 a year
$250,001 or more a year
Smoker:
Yes
No
If cigarettes, brand used most:
Camel
Marlboro
Newport
Winston
Other
Drinker:
Yes
No
If beer, brand used most:
Miller
Budweiser
Stroh's
Busch
Heineken
Guinness
Other
If liquor, brand used most:
Dewar's
Smirnoff
Jack Daniel's
Kahlua
Absolut
Jim Beam
Maker's Mark
Southern Comfort
Malibu Rum
Stoli
Other
How often do you buy music:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you buy books/mags:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you go to the movies:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you go to concerts:
More than once a week
About once a week
About once a month
About once a year
Never
Type of venue you most frequent:
Dive bar
Small venue (500 people)
Average venue (500 - 2000 people)
Amphitheater
Type of store/shop you visit most:
Mom and pop shop
Local chain store
National chain store
How often do you go to the theatre:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you go to see sports:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you buy clothes:
More than once a week
About once a week
About once a month
About once a year
Never
How often do you go out to eat:
More than once a week
About once a week
About once a month
About once a year
Never
Type of restaurant most frequented:
Fast food
Average sit-down
Posh as hell
Do you vote:
Amount you spend on entertainment:
$0 - $100 a month
$101 - $250 a month
$251 - $500 a month
$501 - $1000 a month
More than $1000 a month
Type of housing:
Rent
Own
Mother's basement
Marital status:
Single
Dating
Married
Married and cheating
Widowed
Divorced
Sexual persuasion:
Heterosexual
Bisexual
Homosexual
Morrissey
None of your fucking business
Level of schooling completed:
Some high school
High school
Some college
College
Some graduate school
Graduate school
Beyond graduate school
What do you like most about TLC :
What do you dislike most about TLC:
Comments (optional):
City, State, Country (optional):
Email address (optional):
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