Isurge Inc.
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Survey Demo Test
1:
What is your age?
2:
What year did you graduate HIgh school or earn your GED?
3:
What is your highest level of education?
--- Select One ---
GED
High School
Bachelors
Masters
Doctorate
Technical Diploma
4:
When do you plan to enroll in school?
--- Select One ---
Next 3 Months
Next 6 Months
Next Year
5:
Would you prefer campus base or online education?
campus base
online education
6:
How serious are you about pursuing further education?
Very Serious
Serious
Considering
Just Researching
7:
Are you a US citizen?
Yes
No
8:
Are you affiliated with the US military?
Yes
No
9:
What is your zipcode?
10:
What is your email address?
11:
First Name
12:
Last Name
13:
Street Address
14:
Phone