Amigos - Survey

CAN YOU HELP US?
Please take a minute or two to answer these questions. You may submit answers to these questions now. You do not need an email account to send your answers. Thank you.

Your email Address:

Subject:

1. Have you ever visited this website before? 2. Have you answered this questionnaire before? 3. I am: (Male or Female) 4. My age is: 5. My ethnicity is: (Hispanic, Asian, African-American, Caucasian, Other?) 6. I live in: (Enter city, state, and/or country) 7. I use a computer (At Home, At Work, At School, At the Library, Other) 8. How did you first learn about this site? (newspaper? school? in a brochure? net search?) 9. Would you like to participate in future surveys? (Yes or No) 10. If you answered yes to participating in future surveys, please give us the following information otherwise, we cannot contact you. Your name:

(Please note: You do not need to supply your name and email address in order to submit your answers to Amigos. If you do give us this information, we will not distribute or market your personal information.)

If you do not currently have your own email account, you can get a free email account on the web: see Totally Free Stuff, Yahoo's Free Email list, or do an internet search for free email accounts. After, you get your new email account, please come back to this page and just send in your name and email address so that you can be included in the research.



		Your email Address:
		Subject:
		Subject:
		1. Have you ever visited this website before? 2. Have you answered this questionnaire before? 3. I am: (Male or Female) 4. My age is: 5. My ethnicity is: (Hispanic, Asian, African-American, Caucasian, Other?) 6. I live in: (Enter city, state, and/or country) 7. I use a computer (At Home, At Work, At School, At the Library, Other) 8. How did you first learn about this site? (newspaper? school? in a brochure? net search?) 9. Would you like to participate in future surveys? (Yes or No) 10. If you answered yes to participating in future surveys, please give us the following information otherwise, we cannot contact you. Your name: