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* 1. Contact Info:

* 2. Gender:

* 3. Date of Birth (Ex. 08/25/1987)

* 4. Industry & Title:

* 5. What best describes your marital status?

* 6. What best describes your annual household income?

* 7. What best describes your ethnicity?

* 8. Which best describes the area you live in?

* 9. How many magazines do you either subscribe to or buy on a regular basis?

* 10. Which, if any, of these magazines do you subscribe to?

* 11. Which, if any, of these magazines have you purchased at the store or newsstand in the last month?

* 12. To what extent would you say you are interested in the following activities in your free time?

  Very Interested Somewhat Interested Not Interested
Personal fitness/Working out
Sports & Outdoors
Volunteering
Art & Culture
Crafts or DIY Projects
Reading
Traveling
Animals
Cooking
Spending time with family

* 13. On a scale of 1-10, how interested would you say you are in the following personalities. Please use a 10-point scale where 1 means you are not interested/do not follow and 10 means you are very interested in/follow closely.

  1 2 3 4 5 6 7 8 9 10
Bethenny Frankel
Katie Couric
Ellen DeGeneres
Dr. Phil
Dr. Oz
Oprah Winfrey

* 14. Which of the following television shows would you say you watch two or more times per week (live or DVR)?

* 15. Have you visited the website of any of the following television shows in the past two weeks?

* 16. Do you have a webcam that is either built into your laptop/computer or is hooked up and ready to use on your computer?

* 17. What is the make and model of your current mobile phone?

* 18. Where did you hear about this study?

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