The Missing Piece: Your Podcast Feedback

The Missing Piece: Your Podcast Feedback
What is your age range?

18-2829 - 3839 - 4849 and above
What is your gender?

MaleFemaleTransgenderNonbinaryAgen-genderqueerOther
What Province/State do you live in?
What is your household income?

$20,000 - $40,000$40,001 - $60,000$60,001 - $80,000$80,001 - $100,000$100,001 and above
Do you rent or own your home?

RentOwnOther
How many children do you have under the age of 18?

OneTwoThreeFourNAOther
What is the highest level of education you have completed?

High School Diploma/GEDAssociate DegreeUndergraduate DegreeMasters DegreePhDOther
Which of the following are you likely to do in the next 18 months?

Change banksPurchase sports equipmentPurchase television or other major consumer electronicsVisit a sporting goods retailerRent a vehicleApplying for a mortgageSwitch cable, phone or internet service providers
In the past 6 months, which of the following hobbies have you participated in?

HikingYogaGardeningTravelWatching sportsAttending theatreGoing to the moviesBakingExercisingMeditation
What type of sponsor do you think would be a good fit for Lydia Amputees Foundation?

AirlineAutomotiveCar RentalCredit CardFinancial ServicesFurniture & Appliance RetailerHotelInsurance (Life)Insurance (Property & Casualty)Investment AdvisorLaw FirmMortgage BrokerRetailSmartphone ManufacturerSport Equipment/ApparelTelecommunicationsTravel
Who is your current financial institution?

Bank of America Financial CenterJP Morgan ChaseCapital OneCitibankGoldman SachsWells Fargo BankTruistPNC BankTD BankCitizens BankMorgan StanleyAlly BankM&T BankBNY MellonCharles Schwab BankOther
Which of the following automobile brands do you currently own/lease

BuickChryslerDodgeFordCadillacChevroletGMCHondaJeepTeslaAcuraAudiBentley Motors LimitedBMWFisher AutomotiveGenesis MotorLucid MotorsToyotaAlfa RomeoAston MartinGeneral MotorsLexusLincolnHyundaiPorshaOther
Who is your current phone/internet provider?

AT&TVerizon (including Fios)Comcast (Xfinity)SpectrumCoxT-MobileCenturyLinkFrontierOomaNextivaRingCentralZoom PhoneGoogle VoiceAlice (Optimum)MediacomWindstreamGoogle FiberStarlinkOther
Who is your current insurance provider?

State FarmAllstateGeicoProgressiveNationwideTravelersUSAAAmicaErie InsuranceChubbFarmersAmerica FamilyOther
To prove you are a human, please provide an incorrect answer to this equation 2+3*
What destinations are you likely to travel to within the next 18 months

LocalContinental USElsewhere in North AmericaCaribbeanEuropeAsiaSouth AmericaOther
In the past 12 months, which of the following magazines/publications have you purchased?

TimeNewsweekThe New YorkerThe WeekRolling StonePeopleCosmopolitanVanity FairOther
How long ago did your amputation occur?

Less than 6 months6 months - 1 year1 - 5 years5 -10 years
What was the primary cause of your amputation?

Trauma/AccidentDisease (e.g., diabetes, vascular disease)CancerCongenitalOther
Email (This email address is intended for private use ONLY and it will not be sold or distributed) *
example@example.com
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