Survey

Fill in the survey to win a gift card.

Fill in the survey to win a gift card.

  • Win a $100 VISA Gift Card

Step 1

Are you male or female?

What city do you currently live?

What year were you born?

Step 2

What is the highest level of school you have completed or the highest degree you have received?

Which of the following best describes your current job level?

Step 3

What was the total combined income of your household in 2016?

Step 4

Where did you first discover the California Senior Guide?

On average, how long do you keep an edition of the California Senior Guide?

Step 5

What do you most like about the California Senior Guide?

What do you least like about the California Senior Guide?

How often do you use your copy of the California Senior Guide?

Step 6

Have you purchased anything as a result of the California Senior Guide?

Have you recommended anything as a result of the California Senior Guide?

Step 7

Name

Company

Address

City

State

ZIP

Email

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