Read for the Record Question Title * 1. Do you have any children ages birth to five? Yes No Question Title * 2. How many children ages birth to five currently live in your household? 1: 2: 3: More than 3 Question Title * 3. Did you read to your child/children today? Yes No Question Title * 4. What is your approximate average household income? $0-$24,999 $25,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000-$124,999 $125,000-$149,999 $150,000-$174,999 $175,000-$199,999 $200,000 and up Question Title * 5. How would you most like to receive additional information regarding our organization? E-mail Phone Mail Question Title * 6. If you would like to receive additional information about this organization you may provide contact information below, but it is not required. Done
