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Consumer Demographic Survey Copy
Please indicate your gender:
*
Male
Female
Please select the category that includes your age:
*
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Do you currently have children under the age of 18 living in your household?
*
Yes
No
If yes, how many children under the age of 18 live in your household?
1
2
3
4
5
6 or more
What best describes your martial status?
*
Single, Not Married
Married
Living with partner
Separated
Divorced
Widowed
Prefer not to answer
What best describes your employment status?
*
Employed full time
Not employed, but looking for work
Not employed and not looking for work
Retired
Student
Homemaker
What best describes your level of education?
*
Some high school
High school graduate or equivalent
Trade or Vocational degree
Some college
Associate degree
Bachelor's degree
Graduate or professional degree
Prefer not to answer
In which state do you live?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please estimate your household income:
*
Under $20,000
$20,000 - $29,999
$30,000 - $39,999
$40,000 - $49,999
$50,000 - $69,999
$70,000 - $99,999
$100,000 - $149,999
$150,000 or more
Please check all factors that you like about Chesapeake Bay Candle:
*
Fragrance
Design
Convenience
Price
What forms of social media do you use on a regular basis, and how often?
*
At least Once per Day
A few times per week
At least once per month
A few times per year
Never
Facebook
1
2
3
4
5
Twitter
1
2
3
4
5
YouTube
1
2
3
4
5
LinkedIn
1
2
3
4
5
blogs
1
2
3
4
5
What other types of products would you like to see us develop?
*
Personal Care
Laundry Care
Car Care
Pet Care
Odor Elimination
Other
If you chose "Other" in the question above, please specify:
Maximum Allowed:
300
characters.
Currently Used:
0
characters.
Are you interested in flame-free products?
*
Yes, candle warmers
Yes, room sprays
Yes, scented beads
Yes, LED candles
No, I am not interested in flame-free products
No, I do not know enough about flame-free products
Please enter your email address so we can email your special thank you offer:
Would you like to join our email list?
Yes please!
No, not at this time. Keep my email confidential.
Do Not Fill This Out
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