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Thank you for taking the time to complete our readership survey. Your answers will help us to better serve our readers and build a more interesting and useful website. Be assured that we do not sell our reader lists to any outside company organization. We keep your information confidential in our own database.

From time to time we choose readers from our lists to receive gifts such as books or tickets to events as a way to thank them for being a part of Single Again.

If you ever wish to be taken off our list all you need to do is let us know. We will delete your information as soon as possible.

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Customer Survey

List your gender
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Age Range:


Income range:

How long have you been single again?:

Describe your current occupation or career:

Religious affiliation:

In which state do you live:

Do you live in a foreign country?:

Why are you single again?:

Have you tried using an online dating site within the past two years?:
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Would you consider purchasing items or services advertised on SingleAgain.com?:
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Do you participate in a group, organization or service that could benefit from being a part
of SingleAgain.com? If so, tell us about it here:

I would like to receive the Single Again newsletter via email:
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I would like to be a part of the Single Again readership to possibly receive free gifts in the
future. I understand there is no obligation when receiving a free gift.
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Street address 1:

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