Please assist us! We would like to know a little bit about you -
If you take the time to answer the following questions, you'll be entered into our quarterly drawing for a FABULOUS PRIZE!!

Gender Male Female -select-

Age Under 12 12 - 17 18 - 24 25 - 34 35 - 44 45 - 54 55+ -select-

Household Income Under $25,000 $25,000 - $49,000 $50,000 - $75,000 $100,000 - $150,000 More than $150,000 -select-

Have you ever visited The Dayton Art Institute? yes no -select-

If yes, when January February March April May June July August September October November December -month- Before 1980 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 -year-

If no, do you plan to visit In the next month In the next six months In the next year No plans to visit -select-

Do you read a daily newspaper at least three times per week? yes no -select-
Do you read a Sunday daily newspaper? yes no -select-

Do you read a weekly newspaper? yes no -select-

To what format radio station do you regularly listen?

What is your favorite type of art?

Thank You