The Employee Network Survey
RequiredRequired Question(s)
1.
Sign up for our Newsletter! Be the first to know about our great deals, contests, and calendar of events!

*This information is confidential and will not be associated with your survey responses below. Providing your email will subscribe you to The Employee Network Newsletter and New Merchants email.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

Email Address:
emailaddress@xyz.com

Required 2.
How often do you use our services?
 Don't Use Weekly Monthly Quarterly Yearly 
Tickets / Attractions
Restaurants
Home Services
Financial
Health & Beauty
Hotels
Required 3.
What is your gender?
Male
Female
Required 4.
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Required 5.
What is your marital status?
Single
Married
Divorced
Widowed
Required 6.
How many kids do you have?
None
1-2
3-4
5+
Required 7.

How old are your kids? 

0-2
3-6
7-12
13-17
18+
N/A
Required 8.
Which of the following categories best describes your annual income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 or more
Required 9.
Residence:
Home Owner
Rent
Required 10.

In which city do you live


 

50 characters left.
Required 11.

In which city do you work


 

50 characters left.