Feedback Survey

Thanks for taking the time to fill out this survey. This will make it easier for me to serve you better in the future.

Please tell me your name: (Do not hit return)

1) How old are you?

Under 18 years old
Between 19 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 45 years old

2) How often do you visit my page?

Every Day
Once per week
Once per month
Once per year

3) Please list any search engines, including the URL, that you would like to see on my page


4) What is your e-mail address?


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