Name Survey First Name*Last Name*Phone*Email* What is your gender?*MaleFemaleOtherHow old are you?*What is your primary race?African-AmericanArabic / Middle EasternAsianCaucasianHispanic / LatinoNative American / AlaskanPacific IslanderOtherDo you currently have any children under the age of 18 living with you?YesNoWhich of the following entertainment and communication do you use? Home phone Internet In home paid TV (ex: cable / satellite) Free online TV streaming Paid online TV streaming (ex: Netflix / Hulu) Cellphone or smart phoneWhat in home paid TV service(s) do you pay for? Cox cable Comcast AT&T TV DirecTV Dish NetworkWho provides your cell phone service?AT&TVerizonSprintT-MobileOtherHow satisfied are you with your current cell phone provider?Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfiedOn average, how often do you play video poker at locations like fairgrounds, OTB, or cash magic?I don't playAt least once a weekAt least twice a monthAt least once a monthAt least once every three monthsLess than once every three monthsOn average, how often do you play slot machines at big casinos like Harrah's, Treasure Chest, etc?I don't playAt least once a weekAt least twice a monthAt least once a monthAt least once every three monthsLess than once every three months
