Online Survey

Gender:

Male
Female

Age:

Education:

High School/GED
College Graduate
Masters
Doctorate

Employment:

Full Time
Part Time
Unemployed

If unemployed:

Race:

White
Black
Asian

Ethnicity:

Income:

Under $20,000
$20,000-$30,000
$30,000-$40,000
$40,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000 +

Home:

Rent
Own

Do you own a computer?

Yes
No

Do you own a cell phone?

Yes
No

Your Car:

Own it
Lease it
I do not have a car

Preferred Method of Payment?

Cash
Credit
Check

Credit cards: I have...

1 Credit Card
2 Credit Cards
3 Credit Cards
4 Credit Cards
5 or More Credit Cards
I do not have any Credit Cards

I speak:

English
Spanish
Both
Others

I was born:

Inside the US
Outside the US

I live:

In Chicago
30 minutes from Chicago
45 minutes from Chicago
Over 1 hour from Chicago
In another state

I smoke cigarettes:

Yes
No

I smoke cigars:

Yes
No

When I go out, I mostly drink:

Water
Pop/Juice
Energy Drinks
Beer
Mixed Drinks
Martinis
Hard Liquor (straight)
Red Wine
White Wine

If I drink beer I usually order:

Bud
Bud Lite
MGD
Miller Lite
Corona
Heineken
Other
I do not drink beer

If I drink mixed drinks or straight liquor, they are usually based on:

When I listen to radio, I usually listen to:

Radio in English
Radio in Spanish

Types of music I like: