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is your age? |
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you male or female? |
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is your family's income level? |
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you own or rent? |
Own Home
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is your highest level of education? |
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| How
many children live with you who are... |
| Ages
0-3 |
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| Ages 3-5 |
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| Ages 5-8 |
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| Ages 8-12 |
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| Ages 13-18 |
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| How
many hours weekly do... |
| You exercise? |
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| Your children exercise? |
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| You exercise together? |
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| Your children play
outside? |
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| How
many meals do you eat together as a family
each week? |
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| How
many healthy snacks do your children eat
weekly? |
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| How
many not-so-healthy snacks do your children
eat weekly? |
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| How
often do your children play in the... |
| Home |
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| Friend's Home |
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| Park or Playground |
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| Paid Play Venue |
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| How
much do your children influence your product
choices in the... |
| Grocery
Store |
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| Superstore |
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| Clothing Store |
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| Toy Store |
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| Mall Stores |
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| Other Stores |
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| How
many companies support you in meeting the
needs of your family? |
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| What
would you like to see on FunPlaydates.com? |
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| Additional
comments or specific questions? |
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