| First Name |
* |
| Last Name |
* |
|
Address |
*
|
|
City |
*
|
|
State |
*
|
| Zip/Postal Code |
* |
| E-mail
|
*
|
|
--- Please help answering the questionnaire below --
|
|
What is your age? |
*
|
|
What is your annual income? |
*
|
|
What type of internet connection
do you use? |
*
|
|
What do you primarily use your computer
for? |
*
|
|
How often do you play computer games? |
*
|
|
What type of games do you usually
play? |
-- Hold Ctrl key to select multiple games --
*
|
|
News letter
|
Yes
NO
|
| |
|
