EmailMe Form - AHSGS Website Visitor Profile

AHSGS Website Visitor Profile

How did you first learn of our website?
Recommendation from a friend
Link from email our site sent you
Link from another Web site
TV
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Magazine
Internet ad
Search engine results
Other
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How many times in the last 30 days have you visited our website?
This is my first visit
Daily
A few times per week
Once per week
A few times per month
Once per month
Have not visited in the last 30 days
How likely are you to return to our website in the next 30 days?
Extremely likely
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What was your main reason for visiting our site? *
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Demographic Information
Email *
Email
Age
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Country *
Income

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