Below is the  General Market Surveytemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link. 

GENERAL MARKET SURVEY


Are you:

Male
Female


What is your age?

18-24
35-44
55-64

25-34
45-54
65 or over


What is the highest level of formal education you have completed? (Please check only one.)

Attended High School
Attended College
Post-Graduate Study Without Degree
Graduated High School
Graduated College
Post-Graduate Degree


What is your marital status?

Married
Separated or Divorced

Single, Never Married
Widowed


How many children under the age of 18 live in your household?      


What is your total annual personal income? (Include income from all sources C  salary, bonuses, investment income, rents, royalties, etc. Please check only one.)

Less than $30,000
$40,000 - $49,999
$60,000 - $74,999
$100,000 - $149,999
$250,000 - $499,999
$1 million or more
$30,000 - $39,999
$50,000 - $59,999
$75,000 - $99,999
$150,000 - $249,999
$500,000 - $999,999



In which state and ZIP code area is your main residence?

State            ZIP code:         

What is your total annual household income? (Include income for all family members and include all sources C salary, bonuses, investment income, rents, royalties, etc. Please check only one.)

Less than $30,000
$40,000 - $49,999
$60,000 - $74,999
$100,000 - $149,999
$250,000 - $499,999
$1 million or more
$30,000 - $39,999
$50,000 - $59,999
$75,000 - $99,999
$150,000 - $249,999
$500,000 - $999,999


A)   Do you own a home, condominium or co-op as your primary residence?

Yes
No


If Yes, what is the present market value of your primary residence?

Under $100,000
$200,000 - $299,999
$500,000 - $749,999
$1 million - $1.9 million
$100,000 - $199,999
$300,000 - $499,999
$750,000 - $999,999
$2 million or more
If $2 million or more, please estimate value:         (please specify)


Do you own a second home, condominium or co-op?

Yes

No



What is the total net worth of yourself and all members of your household? Include the estimated market value of your business if you own one, all real estate, including primary residence, car, household possessions, bank accounts, stocks, bonds and other investments and assets.

Less than $50,000
$100,000-$249,999
$500,000-$749,999
$1 million -$1.4 million
$2 million -$4.9 million
$10 million and over
$50,000-$99,999
$250,000-$499,999
$750,000-$999,999
$1.5 million -$1.9 million
$5 million -$9.9 million

click to download General Market Survey template
                            

Other legal template form