| Name: |
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| Email Address: |
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| Age |
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| Address |
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| City, State, Zip |
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| Gender |
Male
Female
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| Single/Married/Divorced |
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| Average Yearly Household Income |
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| Highest Level of Education Completed |
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| How long have you been Riding Motorcycles? |
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| How many motorcycles do you own? |
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| How many cars do you own? |
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| How many months a year do you ride? |
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| On average, how many days a month do you ride? |
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| What is your favorite event to ride to? |
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| What restaurant do you frequent most on your machine? |
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| Where is your favorite place to ride? |
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| What is your favorite road for riding? |
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| What is your least favorite road for riding? |
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| What is the farthest you have ridden on your bike? |
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| Do you perform your own maintenance? |
Yes
No
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| If you answered no to the previous question, where do you get your machine(s) serviced? |
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| How often do you purchase accessories for you or your machine? |
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| Do you subscribe to My Machine® Magazine? |
Yes
No
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| What is your favorite feature of My Machine® Magazine? |
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| What would you like to see more of in My Machine®? |
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| What other magazines do you read? |
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| Comments/Suggestions |
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