Community Online Survey

COMMUNITY & HEALTH ONLINE SURVEY

Please note: the survey must be completed to be eligible for the prize.

Thank you for taking the time to complete this questionnaire. The purpose of this questionnaire is to gain a better knowledge of our online readers. The data you provide will be used for company purposes only and will be treated with confidentiality.

Print subscription offer only available to first 100 completed surveys

Complete any of our on-line surveys and receive a FREE SUBSCRIPTION TO SPASIFIK (conditions apply).

NZ residents will receive 1 year print and web subscriptions (valued at $64.90).

Overseas residents will receive a 1 year web subscription and a 1 complimentary copy of the SPASIFIK print magazine current issue (valued at approx $42.00).

Entries limited to 1 per person and/or email address regardless of how many category surveys are completed.

Once you have completed and submitted the survey, you will be contacted by email by our subscription team.

Name*
Email*
Age*
Gender*
Ethnicity*	Maori Cook Island Samoan Tongan Fijian European Niuean Tokelau Other
If Other please specify
Residence (city / country)*
Personal Income*
Current Employment Situation (Tick all that apply)*	Unemployed Self-employed Employed part-time Employed full-time Studying part-time Studying full-time Job Searching Fulltime caregiver
If employed, what is your occupation (job title & organization)
If you are a student, what are you studying?
Are you aware of the SPASIFIK Magazine available in stores?*
Do you buy Spasifik?*
How often do you visit the COMMUNITY & HEALTH page of SPASIFKmag.com?*
Is this the first page you visit when you enter SPASIFIKmag.com?*
What other pages do you like to visit on SPASIFIKmag.com? (tick all that apply)*	Home Page Sport & Leisure Spasifik Sisters Business Community & Health Brown & Around Travel Environment Food & Recipes Classifieds
Do you have a community services card?*
How often do you visit the doctor for yourself?*
How often do you visit the dentist for yourself?*
Name a health campaign you remember advertised on SPASIFIKmag.com.*
Have you acted on any health campaigns you’ve seen advertised on SPASIFIKmag.com?*
What are some health concerns you have about our community?*
Have you been to any community events in the past 6 months?*
If so, what was the event?
How much would you spend on average to attend a community event?*
If applicable, what community groups do you belong to?
What interests you the most about the COMMUNITY & HEALTH page?*
Name one thing you particularly like about the COMMUNITY & HEALTH page?*
Name one thing you particularly dislike about the COMMUNITY & HEALTH page or think should change.*
Have you filled out any questionnaires on the pages of SPASIFIKmag.com? (tick all that apply)*	Home Page Sport & Leisure Spasifik Sisters Business Community & Health Brown & Around Travel Environment Food & Recipes Classifieds None
Tick to receive the SPASIFIK e-newsletter	Yes