Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Which Magazine Do You Read? *

Flagler Magazine

Ormond Magazine

Halifax Magazine

New Smyrna Magazine

DeLand Magazine

Gender *

Male

Female

Age *

18-24

25-36

37-49

50-62

Over 62

Education *

High School Grad or less

Attended College

4-Year Degree

Post-Grad with Degree

Annual Income *

50,000 or below

50,000-75,000

75,000-100,000

100,000 or more

What is your relationship to Flagler/Volusia County? *

Resident

Visitor

If your are a seasonal resident/visitor, when do you come to Flagler/Volusia County?

June-August

September-December

January-February

March-May

How do you receive your magazine? *

Annual Subscription

Pick-up from rack

Read online

How long do your keep each copy? *

A month or less

Until the next issue comes out

A few months

Keep for reference

How would you rate your interest in the magazine? *

Look forward to every issue

Flip through the pages and read the articles that catch your eye

Pass it on to friends but don't read it yourself

No interest at all

Have you learned of product or service from an ad in the magazine? *

Yes

No

Have you purchased a product or used a service you saw in the magazine? *

Yes

No

Have you used a service you saw in the magazine? *

Yes

No

Do you play any of the following sports? *

Golf

Tennis

Water Sports (Swimming, Surfing, Kayaking, Paddle Boarding, etc.)

Running/Hiking/Cycling

Volleyball/Basketball/Baseball

Dine out *

Once a week

More than once a week

Once a month

Other

Shopping *

Once a week

More than once a week

Once a month

Other

Cultural Activity (Theater, Concerts, Museums, etc.) *

Once a week

More than once a week

Once a month

Other

Spend time outdoors/nature *

Once a week

More than once a week

Once a month

Other

Do you own your home? *

Yes

No

Doe your home have a pool? *

Yes

No