Your Email
*
What gender do you identify as?
*
A. Male
B. Female
C. Prefer not to say
What is your age?
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A. 0 - 15 years old
B. 15 - 30 years old
C. 30 - 45 years old
D. 45+
E. Prefer not to answer
Please specify your ethnicity.
*
A. Caucasian
B. African-American
C. Latino or Hispanic
D. Asian
E. Native American
F. Native Hawaiian or Pacific Islander
G. Two or More
H. Other/Unknown
I. Prefer not to say
What is the highest degree or level of education you have completed?
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A. Some High School
B. High School
C. Bachelor's Degree
D. Master's Degree
E. Ph.D. or higher
F. Trade School
G. Prefer not to say
Are you married?
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A. Yes
B. No
C. Prefer not to say
What is your current employment status?
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A. Employed Full-Time
B. Employed Part-Time
C: Self-Employed
D. Seeking opportunities
E. Retired
F. Prefer not to say
What is your annual household income?
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A. Less than $25,000
B. $25,000 - $50,000
C. $50,000 - $100,000
D. $100,000 - $200,000
E. More than $200,000
F. Prefer not to say
How frequently do you visit Kodiaxe?
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A. Once a week
B. Once a month
C. A few times a year
D. Once a year
Please check all of the following that apply. For me, Kodiaxe is an ideal plan for:
*
A. Guys/girls night out
B. Date night
C. Team building/corporate events
D. Birthdays and Bachelor/ette events
E. Family fun
F. Hanging out
How important is it to support locally owned businesses?
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A. Very important
B. Somewhat important
C. Not at all important
How important is it to support businesses that find ways to give back?
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A. Very important
B. Somewhat important
C. Not at all important
How likely would you be to recommend Kodiaxe to a friend/coworker?
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A. Very likely
B. Somewhat likely
C. Not likely
How would you like to hear from Kodiaxe about specials and other upcoming events?
SMS
Email
FB Messenger
Instagram