CY Gabriel Research Survey
Answers marked with a * are required.
1.
User Data
1.
Name (optional)
2.
Gender
*
Male
Female
3.
Age
*
16-25
26-35
36-45
46-54
55+
4.
City/ Municipality
*
5.
Civil Status
*
Single
Married
Separated
Widowed
6.
Contact info
Created with SurveyExpression
Survey Software
.