Popular Kids Books

ABC Kids
Chocolatina
The Janitor's Boy

Entry Form

SURVEY TO BE COMPLETED BY PARENTS ONLY

Please fill out this survey and be automatically entered in to win a $100 gift certificate to YOUR FAVORITE toy store. Winners will be announced on April 1, 2001. Your participation in this survey will help us better serve you in the future. Thank you.

Please enter your e-mail address before taking this survey.

Your E-Mail Address: 

1. Are you visiting this site today with your kids?   Yes  No 

2. What is your age? (SELECT ONE)
 
 18 to 29 years old      30 to 39 years old      40 to 49 years old
 50 to 59 years old  60 to 69 years old  70 to 79 years old
 55 to 59 years old  60 to 64 years old  65 to 69 years old
 70 to 74 years old  75 to 79 years old  80 or older

3. What is your gender? (SELECT ONE)   Male  Female 

4. What is your highest level of education?
(SELECT ONE)

  Grammar School
  Some High School
  High School
  Some College
  College Graduate
  Post Graduate Degree
  Professional Degree
  (Trade School)

5. What is your family's total household income from all sources?
(SELECT ONE)

Less than 10K
  10 -19k
  20-29k
  30-39k
  40-49k
  50-74k
  75-100k
  100-149k
  150k- 159k
  200k or more

6. What is your Marital Status?
(SELECT ONE)

  Single/Never Married
  Married or cohabiting
  Divorced/Separated
  Widowed

7. What are the Ages of the children in your household?
(FILL IN CHART)

# OF CHILDREN AGE MALE/FEMALE
Child 1    Male  Female 
Child 2    Male  Female 
Child 3    Male  Female 
Child 4    Male  Female 
Child 5    Male  Female 
Child 6    Male  Female 

8. Where do you live?

9. How often do you visit this web site?
(SELECT ONE)

  Daily
  Once or twice per Week
  Once per Month
  First Time Visit

10. What is your Internet connection speed?
(SELECT ONE)

  14.4k or slower
  28.8k
  33.6k
  56k
  Cable Modem
  ISDN
  XDSL
  T1
  T3 or Faster

11. How often do you take family holidays for more than 3 days and at least 100 kilometers (or 60 miles) from home?
(SELECT ONE)

  3 x pre year
  2 x per year
  1 x per year
  1 x every other year
  less than 1 x every other year

12. What are the destinations of your family vacations/holidays?
(SELECT ALL THAT APPLY)
  Beach/Seaside
  Camping
  City Tourism
  Foreign Country Tourism
  Countryside
  Amusement Park
  Other  

13. What are your children's 3 most favorite television programs?
(Select 3)

  Cartoons
  Educational Programs
  Comedies
  Movies
  Adventure programs
  Game shows
  Other  

14. What are your children's favorite web sites?
(SELECT ONE)

  Learning
  Games
  Informational
  Fun


CONTEST RULES >