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Subscriber Questionnaire
Please take time to fill out this quick online questionairre regarding how Smitty's Notes can better serve you. All comments are important, welcome, appreciated and encouraged. Mucho Gracis!
All information is confidential.

1. How old are you? 18-24 25-34 35-49 50-65 65 +	2. Your sex? Male Female

3. Your Status Single Married Separated Divorced	4. What is your annual household income? $20,000 - $34,999 $35,000 - $49,999 $50,000 - $64,999 $65,000 - $79,999 $80,000 - $99,999 $100,000 - $149,99 $150,000 - $199,999

5.What is your occupation? Sales Managerial Technical Professional Student	6. Internet Usage Patterns I access the Internet from home I access the Internet from the office I access the Internet from somewhere else

7. How often do you check your e-mail or visit the Internet? Few times a month Once a week Few times a week Every day	8. Do you live in… Winston-Salem/Forsyth County Greensboro/ High Point/Guilford County Some where in North Carolina Out of State

9. How long? Newcomer – within the past six months 1-2 years 3-5 years 6-10 years 10 plus years	10. Household Status? Rent Own

11. What are your sources of entertainment information? (You may check more than one) Daily Newspaper Weekly Entertainment Guide (Relish, Go Triad) E-mail Events Calendar Television Radio Word of mouth Smitty’s Notes	12. What percent do you obtain entertainment and community information from the Internet? Less than 25% 25 – 50% 50 – 75% More than 75%

13. How often would you want an e-newsletter published? Once a week Twice a month Monthly	14. How do you obtain Smitty’s Notes? Direct e-mail Pass along by a friend
15. What types of information interest you in an e-newsletter? (You may check more than one) Local events Community News Non Profit News Calendar of Events Downtown News Local Web site news Comments?

16. Would you attend any of the networking special events if sponsored by Smitty’s Notes? (You may check more than one) Wine Tour and Tasting Twice Monthly "Dinner for Eight Plus Smitty" at a local restaurant Dinner Roulette (Dining Club) Discussion Forums (Perceptions of WS, Dating, Diversity etc.) Sporting Event Gallery Event Afterwork Social/Happy Hour Theme night (Yuppie Black Tie, Caribbean night etc.) Day Bus Trip in 100 mile radius of Winston-Salem (i.e. Charlotte, Raleigh, Asheville) Other Ideas or Comments:

17. Would you pay a admission or membership fee for access to a Smitty Notes event to help offset cost? Yes No

18. What type of events would you suggest for the coming months in Winston-Salem? Comments:

19. What are comments, suggestions improvements about Smitty’s Notes and Smittysnotes.com? Comments: