Braba's User Survey

First Name:

Last Name:

E-mail Address:

Enter a password to be used to retrieve survey results:

What is your gender? Male Female

How old are you?: Under 18 years old; Between 19 and 24 years old; Between 25 and 34 years old; Between 35 and 44 years old; More than 45 years old
How often do you visit my page?: Every Day; Once per week; Once per month; Once per year

Why do you browse the Web?
Fun Work Research Education

Please select your occupation from the following list. Choose all that apply.

Please enter any additional comments here:

Thank you for responding to this questionnaire.

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