How many children under the age of 12 are living in your home?:
0
1
2
3
4
5+
What is your occupation?:
Clerical/Office
Self-Employed
Sales/Marketing
Service
Industry
Retired
Professional/Managerial
Technical/Computer
Student
Laborer
Retail
Education
Homemaker
Household Income:
Under $30,000
$30,000-$40,000
$40,000-$50,000
$50,000-$60,000
$60,000-$70,000
$70,000-$80,000
$80,000-$90,000
Over $90,000
Do you:
Own your home?
Rent?
Live with family?
Please check all of the activities below
in which you participate or have an interest:
Dining out
Camping
Movies
/ videos
Skiing
/ Boarding
Nightclubs
/ bars
Fitness Home
Concerts
Improvement
/ Decorating
Travel
Gardening
Advertiser discounts
Reading
Automobiles
Investments
Motorcycles
Computers
/ Internet
Snowmobiling
Improvement
/ Decorating
Team sports
Fishing
Golf
Reading
Boating
/ Water Sports
Hiking
Biking
Computers
/ Internet
Hunting
Other:
How many hours per day do you listen to the radio?:
Less than 1
1 to 3
More than 3
Where do you listen Most?:
At Work
In the Car
At Home
At the Dentist
If you could meet one musical artist/group who would it be?:
Your favorite television show?:
Your favorite store?:
Where do you shop for groceries?:
Store
Location
What is your most trusted source of Health Care for you and your family?:
When in Plattsburgh, what do you shop for the most?:
What is your favorite restaurant in Plattsburgh?:
Do you shop in Plattsburgh?:
once per month
twice per month
three times per month
more than three times per month
Never
Do you plan on purchasing a new or used vehicle in the next:
3 months
6 months
12 months
I don't need a vehicle
How far would you travel to purchase a car?:
under 40 miles
over 40 miles
Plattsburgh
Malone
Potsdam
