Thank you for taking your time to complete this survey.
Why Would you Complete a Demographic Survey Questionnaire?
Demographic surveys 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 have.
Do you have a Midwest Today subscription?
Yes No I'm interested in getting a subscription
In regard to our magazine, how many other people generally read your copy?

Only me

2 to 3

4 to 5

6 to 7

8 to 9

What is your Gender?



What is your age group?

under 20

41 to 50

71 to 80

21 to 30

51 to 60

81 to 90

31 to 40

61 to 70

91 and over

If you live in the U. S. in what area of the United States do you live?

Pacific Coast

Mountain Time Zone

Central Time Zone

East Coast

What is your Marital Status?






Which best describes your occupation?


Middle Management

Clerical/Service Worker

Upper Management/Executive



What is your level of education?

Some High School

Some College

Masters Degree

High School Graduate

College Graduate


Do you own your home or do you rent?

Own Home


Which other related magazines or periodicals do you read?
Which group describes your annual family income?

Under $15,000

$50,000 to $59,999

$150,000 to $174,999

$15,000 to $19,999

$60,000 to $74,999

$175,000 to $199,999

$20,000 to $29,999

$75,000 to $99,999

$200,000 to $249,999

$30,000 to $39,999

$100,000 to $124,999

$250,000 to $299,999

$40,000 to $49,999

$125,000 to $149,999

$300,000 and over

What do you most like about Midwest Today Magazine?
What improvements would you like to see in Midwest Today Magazine?
General Suggestions and Comments
Optional Information
Your Name (optional):

E-mail address (optional):

Email Mailing List:   Yes, I would like to be added to the mailing list.
Thank you for taking the time to complete this survey.

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: midtod@iowatelecom.net.

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