Subscriber Initial Survey
This survey is to collect info about subscribers
Email
*
1.
First Name
*
2.
Last name
*
3.
Familian name (if you have one)
4.
What village or city do you live in?
*
5.
What island or state do you live?
*
6.
What is your zip code
*
7.
What is your occupation
*
8.
What age range do you fall into?
*
Please select a value
18 to 30
31 to 45
46 to 55
56 to 65
66 to 75
76 and over
9.
Gender
*
Please select a value
Male
Female
Non-Binary
10.
How satisfied are you with My Jungle Rules so far?
*
Please select a value
Very Satisfied
Satisfied
Not Satisfied
No opinion
11.
Your Comments
Characters remaining: 400