We want to get to know our Time Out Chicago Kids family!
Please take a few minutes to take this survey and tell us a little bit about yourself and your family.
1. What is your age?
18-24 25-29 30-34 35-39 40-49 50-59 60+
2. What is your household income?
Under $20,000 $20,000-$29,999 $30,000-$39,999 $40,000-$49,999 $50,000-$59,999 $60,000-$74,999 $75,000-$99,999 $100,000-$149,999 $150,000-$199,999 $200,000+
3. What is your employment status?
Full-time Part-time Work from home Stay-at-home parent
4. What is/are the age(s) of the children in your household?
0-6 months 7-18 months 19 months-2 years 3-4 years 5-7 years 8-10 years 10-12 years 13+ years
5. How many children are in your household?
1 2 3 4 5
6. Are your children male or female?
Male Female Both
7. Who is your child’s primary caregiver?
Mother Father Grandparent Nanny/Babysitter Other
8. How many times per month, on average, do you go out to dinner with your child(ren)?
9. Where did you get your copy of Time Out Chicago Kids ?
Mail (subscription) Newsstand (Ex. Barnes and Noble, Borders, etc.) Event (Ex. Neighborhood festival, ticketed event, etc.)
10. Do you subscribe to Time Out Chicago Kids weekly e-newsletter?
Yes No
11. If yes, how many activities and events have you attended based on a recommendation from Time Out Chicago Kids weekly e-newsletter?
0 1-3 4-8 9-12 13+
12. How often do you forward Time Out Chicago Kids weekly e-newsletter to a friend?
Never 1-2 times 1-2 times per month 3-4 times per month
13. How often do you reference your issue of Time Out Chicago Kids ?
Once 2-3 times Monthly Weekly Daily
14. What types of activities or events have you attended or participated in based on a recommendation from Time Out Chicago Kids ?
Restaurant related Art and Museum related Book related Film related Music related Theatre related Other
15. What types of activities are your children enrolled in throughout the year?
16. What other print or online publications do you use when looking for events and activities to attend with your kids?
17. Are you interested in attending an event hosted by Time Out Chicago Kids ?
Yes No
18. What time of day would you be most interested in attending an event hosted by Time Out Chicago Kids ?
Morning (10am-noon) Early afternoon (noon-2pm) Mid-afternoon (2-4pm) Late-afternoon (4-6pm)
19. What types of events are you most interested in attending with your children?
20. Are you a Time Out Chicago subscriber?
Yes No
Winners will only be contacted by phone during regular business hours.
First Name: Last Name: Address: City: State: -- Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico Virgin Islands Armed Forces Africa (AE) Armed Forces Canada (AE) Armed Forces Americas (AA) Armed Forces Europe (AE) Armed Forces Middle East (AE) Armed Forces Pacific (AP) ZIP: Email: Daytime Phone: Evening Phone: E-mail Opt-in:
Use this form to enter before December 11, 2009.
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