Beehive Survey - Enter to Win a "Sansa TakeTV" PC to TV Video Player!
Required Required Question(s)
Thank you for taking the time to answer our brief survey.  The information you provide will help guide our team in creating high quality tools that are relevant to you and your lifestyle.  Your information is confidential and will not be shared with any outside source.  Survey is for internal use only.

You must complete the survey and enter your correct contact information in order to be entered to win the "Sansa TakeTV Video Player."
 
Required 1.
What is your age?
Under 18
18 to 24
24 to 39
40 to 60
60 or older
Required 2.
What is your gender?
Male
Female
Required 3.
What is your ethnicity?
African-American / Black
Hispanic / Latino
Caucasian / White
Asian or Pacific Islander
Native American Indian
I do not wish to answer.
Other  
Required 4.
What is your marital status?
Married / Domestic Partnership
Single
Divorced
Widowed
Required 5.
How many children live in your home?
I do not have children.
1
2
3 - 5 children
5 or more children
Required 6.
What is your average HOUSEHOLD annual income?
Under $25,000 a year
$25,000-$35,000 a year
$35,000-$50,000 a year
$50,000-$75,000 a year
$75,000-$100,000 a year
$100,000 a year or more
I do not wish to answer.
Required 7.
What is your education level?
Some high school.
High School Diploma
Associates Degree or Trade School
Bachelor's Degree
Masters Degree or Higher
Required 8.
Do have a computer at home?
Yes, I have a desktop computer.
Yes, I have a laptop computer.
No, I use the computer at work
No, I use a friend's or neighbor's computer.
No, I use a community lab or the library.
Other  
Required 9.
What other kinds of technology do you use?
You may select more than one answer.
Mobile phone subscription service. (i.e. Verizon, AT&T...Not pay as you go.)
Pay as you go mobile phone service (i.e. smart phone, goPhone, Tracfone...)
Blackberry or other hand held computer
i-Phone.
i-Pod.
Other Music Player.
Required 10.
How do you use technology?  You can select more than one answer.
Write and read email for work.
Write and read email friends or family.
I use text messaging on my cell phone to communicate with my friends.
I use mobile applications such as those available on the i-Phone.
I use Twitter.
I use MySpace or Facebook.
Other  
11.
Which statements below do you MOST agree with?  You can select up to two answers.
Computers keep me connected with my friends and family
Computers are for fun and gaming!
Computers and the internet offer me valuable information and resources.
Computers are important.
Computers are confusing and complicated.
Computers are a waste of time.
Other  
Required 12.
What kinds of things do you like to search for online? You may select more than one answer.
I don't search online.
News
Sports
Blogs
Shopping Online - ie. Amazon, craigslist, eBay, Overstock
Recipies
Health and Wellness
Jobs
Housing - a new apartment or a new house - own or rental.
Money tips and advice - budgeting, filing your taxes, debt resolution
Family Help - findind childcare, parenting tips
Education - tutoring for your kids, going back to college, online education
Other  
13.
Hang in there... You're almost done!
Which of the following proposed ideas seem the most interesting to you?
An online guide to help you be prepared for a natural disaster.
A "natural disaster" checklist. A list of things you should have ready in case a natural disaster strikes.
14.
Which of the following proposed ideas seem the most interesting to you?
Articles and tips about being a first time parent.
A calculator that could tell you average childcare costs in your area.
15.
Which of the following proposed ideas seem the most interesting to you?
Advice about how to loose weight.
Links to the best walking or running trails in your area.
Required 16.
Was this your first time visiting our website?
Yes.
No.
17.
Quickly tell us about your experience on this site:
 Excellent Good Just Okay Poor  
The design of this site.  
The quality of the information on this site?  
Overall, how would you rate this site?  
18.
How did you find our site?
Google Search
Word of mouth
Newspaper
Radio
Television
Other  
19.
Would you refer a friend to this site?
Yes.
No.
Other  
20.
 

Thank you for completing our survey. 

You MUST supply your email address so that we can contact you if you are the winner.  This information is private and will be used for internal purposes only. 
One winner will be selected each quarter.  Next winner to be selected on October 31, 2009. 

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Postal Code:
Country: