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GetAway Survey!

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Male	Female
Race	White Black BiRace Asian Hisp Indian Other
St/Prov:	FL AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Other

Please answer completely and accurately!
1. Are you interested in attending an interracial Singles social event?
Yes Maybe No If no, please skip to 13.
2. Select the location that most interests you! Orlando, FL Caribbean USA - East Coast USA - West Coast Midwest Miami Beach Atlantic Cruise Key West, FL.
3. Select the number of days in duration that would be preferable to you.
Up to 3 Days 4 Days 5 Days 6 Days 7 Days
4. Would you prefer a . . . ? Regular Weekend Long Weekend ie. Holidays Vacation
5. Select the time of year that best suits your schedule! Dec - Feb Mar - May Jun - Aug Sep - Nov
6. If you attended, would you be inclined to . . . ? Come Alone Bring a friend or more
7. Have you ever attended an organized interracial social function before ? Yes No
8. If yes, please describe . . .
9. Which is more important to you ? Interracial Social Event Saving Money
10. Misc. Comments
11. Would you like to be notified of any future interracial event offerings ? Yes No
12. If yes, enter your email address . . .
13. If yes, enter your full name . . .
*14. Gender: Male Female Age: Ethnic: Caucasian BiRacial African/American Asian/American Hispanic/American Indian/American Other
* = Required! NOTE: Any information entered in the above form will be kept strictly confidential. As per our privacy policy, all information will be used soley for the purpose of this feasibility study! To that you have our solemn pledge!