Website Visitor Profile
First name
Last name
Email
How did you find our website?
Google
Bing
Yahoo
Other search engine
Friend
TV add
Email ad
Ad on another website
Radio
Magazine/Newspaper
How many times in the last 30 days have you visited our website?
This is my first visit
Daily
A few times per week
Once per week
A few times per month
Once per month
Have not visited in the last 30 days
How likely are you to return to our website in the next 30 days?
Absolutely
Probably
Not sure
Probably not
Not at all
What was your main reason for visiting our site?
Research
Curiousity
Killing time
Accidentally
Age
Gender
Income
Comment