WBAI Building Bridges - Survey Form

Audience Survey

     The following is a form which helps us to better know who our internet auience is and to help us offer information and activities that are pertinent to you.

     Your responses will not be disclosed to anyone outside of our staff and will only be used to help us improve our site and the services we offer to our audiences around the world.

Audience Survey

First Name
Last
E-Mail
Occupation/Profession
Organization/Business
Street Address
Address (cont'd)
City
State/Province
Zip/Postal Code
Country
Phone - Business
Phone - Home
Fax

My approximate age is:
under 18
18 to 24
25 to 30
31 to 40
41 to 50
51 to 60
61 and over

I consider my racial/ethnic background to be:
African American
Asian
Hispanic/Latino
Caribbean/West Indian
Native American
White
Multiracial
None of the above

My annual household income is:
up to $30,000
$30,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
$100,001 to $150,000
$$150,001 or higher

My computer is:
PC
Mac
Other

What should we add to the site?

Where did you hear about us?

Survey Comments:

SUBMIT YOUR INFORMATION

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