Kingswood Kranium
PSYCHOGENIC FUGUE


The Kranium Survey

Ever wonder who's on the other end of your Internet connection? So do we. Now if we wanted to be deceptive, we could explain that this information is of vital importance to the very existence of the Internet, or that some lucky respondent would win a free New Zealand vacation. But we're advertisers, not deceivers. This information is vital only in that it will satisfy our curiosity, and perhaps, allow us to tailor Kranium towards our audience. But we can't promise that.


Computer:   PC (DOS/Windows)   MAC   UNIX   Other

How many issues of Kranium have you seen?  

Do you intend to read the next issue?   Yes   No

Would you be interested in back issues?   Yes   No

Would you like to see Kranium publish new issues twice a month?   Yes   No

Would you like to be notified by email when new issues of Kranium come online?   Yes   No
(If yes, be sure to enter your email address in the proper blank later in this survey)

Would it bother you to see advertising to subsidize the cost of Kranium?   Yes   No

Would advertising on Kranium make it less likely that you would return to Kranium?   Yes   No

Have you recommended Kranium to friends?   Yes   No    If yes, how many?  

Have you bookmarked Kranium?   Yes   No

Do you think your company would be interested in establishing an Internet presence?   Yes   No   Already have one


Now, if you're not too touchy about giving away personal secrets, please fill out the remainder of our survey. If such questions make you uncomfortable or you're a government agent or double-naught spy, feel free to leave these blank and send the top part only. However, you have our solemn promise not to release any of this information to the IRS, insurance salesmen, or bizarre religious cults unless forced to do so by law.

Name: 

Company: 

Address: 

City:    State:   

Country:    Postal Code: 

Email: 

Age:   Under 18   18 - 34   35 - 49   50 - 65   Over 65

Gender:   Male   Female

Education:   H.S. Diploma    College Degree    Postgraduate Degree  

Annual Income:   Under $15,000   $15,000 - $24,999   $25,000 - $39,999  
$40,000 - $59,999   $60,000 - $79,999   Over $80,000

Comments:
  

   



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Frontal Lobe :: Temporal Lobe :: Leopold & Loeb
Brain Tumor :: Personality Disorders
Cerebrum :: Shock Therapy :: Psychogenic Fugue
Long Term Memory :: Spinal Cord :: Corporate Callosum

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