Complete This Survey And Receive 10% off your next purchase.
First Name *
Last Name *
Address *
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Age
Gender
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If you are a student, which school do you attend?
What are your favorite stores?
How many times per month do you shop at these stores?
1
2
3-5
More than 5
What are your favorite brands?
How much is your average purchase?
Less than $100
$100-$200
$201-$500
More than $500
If you shop online, which sites do you shop most frequently?
How did you hear about this website?
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Kiss 108
Lucky Magazine
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