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This is a short survey that we would like you to fill
out.
BOOKONASTRING SURVEY
this is a botton
what hours are you home?
*
7A.M-4P.M
6A.M-7P.M
5AM-5:30P.M
4:30A.M-6:00P.M
other
What is your socical seccurity number?
*
What is your social security number?
What is your age?
*
Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
What is your household income?
*
Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Prefer not to say
Submit