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What best describes your annual household income before tax?
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Under $100k
$100k - $149k
$150k - $249k
$250k - $499k
$500k - $799k
$800k - $999k
$1mill+
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Do you currently own a business?
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Yes
No
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How much revenue does your business make per year?
Less than $500,000
$500,000 - $1,000,000
$1,000,000 - $1,500,000
$1,500,000 - $3,000,000
$3,000,000 - $7,000,000
$7,000,000+
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Age Range
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18-24
25-34
35-55
56+
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First Name
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Last Name
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Email
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Phone
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