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SPORTS EQUIPMENT/CLUBS/POLITICAL OUTLOOK/LOTTERY<br />

Page 50<br />

SPORT &<br />

You Person<strong>all</strong>y: Amount spent in last 12 months<br />

RECREATION<br />

667 Bought last $1- $25-<br />

EQUIPMENT Own 12 months $24 $49 $50+<br />

PHYSICAL FITNESS<br />

656-0<br />

Baseb<strong>all</strong> gloves ..................... 01<br />

Basketb<strong>all</strong>. ......................... 02<br />

Bicycle helmet ...................... 03<br />

Bow .............................. 04<br />

Bowling b<strong>all</strong>s ....................... 05<br />

Cross country ski boots ............... 06<br />

Cross country skis ................... 07<br />

Elbow/knee pads (In-line skating protective gear) . 08<br />

Factory loaded ammunition ............ 09<br />

Fishing reel. ........................ 10<br />

Fishing rod ......................... 11<br />

Fishing lures or hooks ................ 12<br />

Other fishing equipment ............... 13<br />

Footb<strong>all</strong>. ........................... 14<br />

Golf b<strong>all</strong>s .......................... 15<br />

Outdoor or pocket knife ............... 16<br />

Racquetb<strong>all</strong> b<strong>all</strong>s .................... 17<br />

Racquetb<strong>all</strong> racquet .................. 18<br />

Soccer b<strong>all</strong> ......................... 19<br />

Softb<strong>all</strong>/baseb<strong>all</strong> bats. ................ 20<br />

Sportswatch/Chronograph ............. 21<br />

Tennis b<strong>all</strong>s ........................ 22<br />

Tennis racquet ...................... 23<br />

Other ............................. 24<br />

1 2 3 4 5<br />

You Person<strong>all</strong>y: Amount spent last 12 months<br />

668 Bought last $1- $100-<br />

Own 12 months $99 $249 $250+<br />

Binoculars ......................... 01<br />

Mountain bicycle .................... 02<br />

Road bicycle. ....................... 03<br />

Stationary bicycle. ................... 04<br />

Downhill ski boots. ................... 05<br />

Downhill skis. ....................... 06<br />

Roller blades/In-line skates ............ 07<br />

Elliptical ........................... 08<br />

Treadmill. .......................... 09<br />

Other exercise equipment ............. 10<br />

Golf clubs .......................... 11<br />

Hand gun .......................... 12<br />

Hockey equipment ................... 13<br />

Rifle .............................. 14<br />

Shotgun ........................... 15<br />

Weight lifting equipment. .............. 16<br />

Other ............................. 17<br />

1 2 3 4 5<br />

CONTRIBUTIONS<br />

You Person<strong>all</strong>y:<br />

Contributed to,<br />

last 12 months<br />

Types of Organizations: 655-0<br />

Public Broadcasting Service (PBS) . 1<br />

National Public Radio (NPR) ..... 2<br />

Religious .................... 3<br />

Arts/Cultural .................. 4<br />

Educational .................. 5<br />

Environmental ................ 6<br />

Health. ...................... 7<br />

Political ...................... 8<br />

Social Services. ............... 9<br />

Other Non-Religious Organization . 0<br />

63M-0 Amount<br />

How much did you $1-$49.. . . . . . . . . . 1<br />

contribute in total? $50-$99.. . . . . . . . . 2<br />

$100-$249.. . . . . . . 3<br />

$250-$499.. . . . . . . 4<br />

$500 or more.. . . . . 5<br />

In the past 12 months, have you volunteered<br />

for a charitable organization? Yes 6<br />

CASINO<br />

GAMBLING<br />

659<br />

You Person<strong>all</strong>y:<br />

Participated Times<br />

in last last 12<br />

12 months months<br />

PLACES:<br />

Atlantic City ............ 01<br />

Caribbean. ............. 02<br />

Connecticut ............ 03<br />

Las Vegas. ............. 04<br />

Mississippi Gulf Coast .... 05<br />

Reno. ................. 06<br />

Other ................. 07<br />

You Person<strong>all</strong>y:<br />

LOTTERY<br />

Bought Times<br />

in last last 30<br />

12 months days<br />

658<br />

Any lottery tickets: ....... 00<br />

KINDS:<br />

Instant game ........... 01<br />

Daily drawing ........... 02<br />

Lotto drawing ........... 03<br />

999<br />

OTHER (Write In)<br />

Have you engaged in a regular exercise<br />

program in the last 12 months where you<br />

exercised at least twice a week?<br />

At At At other<br />

home club facility<br />

Yes .............. 01<br />

1 2 3<br />

GREETING CARDS<br />

657<br />

You Person<strong>all</strong>y:<br />

Bought Number of<br />

in last cards last<br />

6 months 30 days<br />

TOTAL: ................ 00<br />

TYPES:<br />

Anniversary ............ 01<br />

Birthday ............... 02<br />

Friendship/Love ......... 03<br />

Get Well ............... 04<br />

Sympathy .............. 05<br />

Thinking of You .......... 06<br />

Wedding ............... 07<br />

Baby .................. 08<br />

Christmas/Hanukkah/<br />

Kwanzaa ............. 09<br />

Mother’s Day ........... 10<br />

Father’s Day ............ 11<br />

Valentine’s Day. ......... 12<br />

Other Holiday ........... 13<br />

999<br />

OTHER (Write In)<br />

Where Purchased: 63N-0<br />

Card Store ....................... 1<br />

Discount Store .................... 2<br />

Drug Store ....................... 3<br />

Grocery Store. .................... 4<br />

Internet/Online. ................... 5<br />

Other ........................... 6<br />

ORGANIZATIONS/<br />

CLUBS<br />

Organizations or clubs you are a<br />

member of: 653-0<br />

AARP ............................ 1<br />

Fraternal Orders ................... 2<br />

Religious Clubs .................... 3<br />

Civic Clubs. ....................... 4<br />

Veterans Clubs. .................... 5<br />

A body of local government ........... 6<br />

654-0<br />

Country Clubs ..................... 1<br />

Business Club ..................... 2<br />

Collector’s Clubs ................... 3<br />

Union ............................ 4<br />

School or College Board ............. 5<br />

Church Board. ..................... 6<br />

Charitable Organizations ............. 7<br />

None of the above .................. 8<br />

POLITICAL<br />

OUTLOOK /<br />

AFFILIATION<br />

652-0<br />

POLOTICAL OUTLOOK<br />

In terms of your political outlook, do you<br />

usu<strong>all</strong>y think of yourself as:<br />

Very Conservative .................. 1<br />

Somewhat Conservative ............. 2<br />

Middle of The Road ................. 3<br />

Somewhat Liberal .................. 4<br />

Very Liberal ....................... 5<br />

Which political party, if any, are you affiliated<br />

with?<br />

Democratic. ....................... 6<br />

Republican. ....................... 7<br />

Other party. ....................... 8<br />

Independent. ...................... 9

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