afrikafé will launch its new and improved Web site this
Summer. The new Web site will feature the full array of social and professional
services that we plan to offer. The bulk of the services are free to afrikafe
members. In order to continue to offer these value-added services at no cost to
you, we will rely upon corporate sponsorship. To that end, we ask that each
member complete a brief survey. This data can not be used to identify our
members specifically. We do, however, request that you provide the last four
digits of your telephone number to avoid duplicate survey responses. None of
the individual data that you provide will be shared with outside parties. This
data is strictly for the purposes of analyzing broad trends and patterns in
afrikafé’s membership base. Please feel free to ask afrikafé for any further
clarification on the use of this data.
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| 1. Last 4 Digits of Phone Number: |
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| 2. Zip Code: |
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| 3. Income Range: |
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| 4. Highest Level of Education Completed: |
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| 5. Age: |
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| 6. Sex: |
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| 7. Marital Status: |
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| 8. Nationality: |
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| 9. Occupation: |
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| 10. Industry: |
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| 11. Number of Years in Industry: |
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| 12. Interests (check all that apply): |
Entertainment
Fashion
Home & Family
Health
Music
Business & Industry
Computers & Technology
Personal Finance
Entrepreneurship
International Trade
Shopping
Sports & Outdoors
Travel
Sweepstakes & Free Stuff
Other
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| 13. Housing Status: |
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