Personal Information
First Name
Last Name
Address
City
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Dallas
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State
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TX
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Home Phone
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Survey Questions
Where did you have your income taxes prepared last year?
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Smitty's Income Tax Service
Jackson Hewitt
H&R Block
Other
Self Prepared
CPA
Tax Software
How much did you pay to have your taxes prepared last year?
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More than $200
Between $150-$199
Between $100-$149
Between $65-$99
Less than $65
Nothing
Did you have your taxes filed electronically last year?
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Yes
No
Do you have any children or dependents to claim, if so how many?
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More than 5
4
3
2
1
0
What is your filing status?
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Head Of Houshold
Married Filing Jointly
Married Filing Separately
Single
Qualifying Widow with children
Unsure
Did you receive a Rapid Refund last year?
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Yes
No
Did you owe on your taxes last year?
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No
Yes
What is your total household income?
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More than $100K
$75K-$100K
$50K-$74K
$25K-$49K
$Under $25K
What is your age?
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65 and older
55-64
40-54
30-39
20-29
Under 20
When choosing a tax professional, what is most important?
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Price
Location
Knowledge
Convenience
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Coupon
Professionalism
Referred By Someone
How did you hear about Smitty's Income Tax Service?
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Flyer
Business Mixer
Email
In Person
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Coupon
Internet
Referred By Someone
Would you be willing to change tax companies?
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Yes
No
How many times have you visited this Web site?
This is my first visit.
I have visited a few times
I am a regular visitor to this site.
What would you like to see more of on this site?
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Information on taxes
Specials
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Customer Satisfaction or Impression