Now that we know a little more about YOU, we'd like to understand more about your home life, your family, your lifestyle.

Number of Adults (18 and older) living in-house:

1

2

3

4+

Number of Children under 12 living in-house:

0

1

2

3

4+

Number of Children aged 13-17 living in-house:

0

1

2

3

4+

Do you have pets?:

If so, how many, what kind, and what are their names?

What is your favorite family activity?:

What keeps you busy during the week?:

What keeps you busy during the weekends?:

If you could visit anywhere in the world, where would you go?:

If you could change something about your home without worry about expense or mess, what would you do?:

What is your favorite thing to do on a Saturday night?:

How has/will the recession affect you and/or your family?: