DEMOGRAPHIC SURVEY QUESTIONNAIRE
Thank you for
taking your time to complete
|Why Would you Complete
a Demographic Survey
help identify the type of people
who visit our web site —
www.midtod.com and read our
publication — Midwest Today
Magazine. The information from
this questionnaire is beneficial
in helping us to understand what
our readers are interested in.
Please take a few minutes to
answer these few questions.
|The information you
provide will be used for our
internal marketing and will not
be given to any other person or
business. Your name and address
information is not required for
this information to be of
benefit to us. When you submit
this form, your name and email
address are not required but
optional. We welcome any
suggestions and comments you may
If you do not want to send this
information over the internet, you may
also print this survey form, fill it out,
and mail it to Attn: Larry Jordan - Midwest
Today, P.O. Box 685, Panora, Iowa 50216 or Email: firstname.lastname@example.org.
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