Urban Mixer Survey

Alright, not everyone can get to their e-mail right away to hit us back so we're trying out a brand-spanking new way to do things around here. Feel free to let me know if you like this or if you think of better ways for us to operate.

We use this information to better the club. By knowing who the members of our group are, we can provide better events to our members. If you don't want to truthfully answer these items, please don't bother - your entry will not go into our draw.

We unequivocally guarantee that your information is safe with us. In terms of secure transmission, the information is encoded in a manner which is not usable to eavesdroppers. None of the information collected will be there to personally identify you - just there for overall demographic stuff so we can better cater to the group as a whole. Additionally, birthdate information is useful when providing you with special offers on that special day.

The data is stored on Canadian servers, safe from the US patriot act and hacker-safe as well.

Please ensure to enter all values and then press submit. Thanks!
 
First Name *
Last Name *
E-mail *
Gender * Male    Female
Telephone Number *
(We'll need this to get a hold of you)
Home Work Cell Other
Telephone Number (Alternate)
Home Work Cell Other
   
How long have you been a member of the Urban Mixer? *

Just joined (less than 6 months)
6 - 12 months
12 - 24 months
Over 2 years
What is your birth date? *
What is the highest level of education you have achieved? *

Didn't complete High School
High School
Some Post-Secondary
College / Technical Diploma
Bachelor's Degree
Post-Graduate
What would best describe your occupation? * Professional (Doctor, Lawyer, Accountant, etc.)
Chief Executive (CEO, CFO, President, etc.)
Managerial (Sales Mgr, Division Mgr, etc.)
Business Professional (Sales, Marketing, IT, etc.)
Unemployed / Between Jobs
Other (Please specify below)
If other, please specify
In what range would your annual compensation fall? * Under $50,000
$51,000 - $75,000
$76,000 - $100,000
$101,000 - $150,000
$150,000 - $200,000
Over $200,000
How often do you go out for dinner? * Rarely
Once a month
Once a week
Twice a week
Three or more times a week

How often do you go out for drinks? *
(pubs, bars, lounges, clubs, etc.)

Rarely
Once a month
Once a week
Twice a week
Three or more times a week
When going out at night, what do you prefer? * Lounge
Pub
Night Club
Restaurant
Which of the following items do you own? (select all that apply)

Automobile
Mobile Phone
PDA
Computer with Internet Access
IPod / MP3 Player

Where do you buy style items such as clothing, shoes, and accessories?
(select all that apply)		 Boutiques
Department Stores
Discount Stores (Winners, Sally Ann)
Catalogues
Internet
What do you like most about the Urban Mixer? (optional)
What do you like least about the Urban Mixer? (optional)
   
Comments, questions, answers, sharp witty dialogue... (optional)

If you have any questions or comments regarding our surveys, please hit me back. With your input we can make our group better!

Regards,

Raj Taneja,
President, Urban Mixer

phone: (800) 688-1868 x 911
raj@urbanmixer.com
www.urbanmixer.com

... you just might want to stay single