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If you are under 13, please do not fill out this form.
Questions that must be answered are followed by a  *.


Please contact me when Fallout Shelter™ is available for:
Windows Macintosh Palm OS Pocket PC Linux UNIX other

I'd first like to see Fallout Shelter available on:
Windows Macintosh Palm OS Pocket PC Linux UNIX other

I'd prefer to run Fallout Shelter on:
desktop laptop handheld

My usual connection to the Internet is:
no access under 56K modem 56K modem cable, DSL, T1

I can access the Internet from:
home work wireless modem

I intend to use Fallout Shelter to protect my:
family business community

The language I speak best is:  

I have physical restrictions that I'd like your software to handle:
 I have difficulty reading small text
 I'm color-blind:

low red low green low blue
no red no green no blue
total atypical total  
 I'm completely blind
 I can't double-click
 I can't use a mouse
 I can only hold down one key at a time
 I have photosensitive epilepsy
 I have other restrictions:
      

I'd like to help:
 I'd like to help test Fallout Shelter before it ships.
 I'd like to resell Fallout Shelter.
 I'm a writer. I'd like to review Fallout Shelter. I write for:
      

How did you hear about Fallout Shelter?
      


Please rate your concerns on a scale of 1-5, where 5 is highest.

Terrorist use of a nuclear bomb
low     1 2 3 4 5     high

Terrorist use of a 'dirty' (radioactive) bomb
low     1 2 3 4 5     high

Terrorist attack on a nuclear power plant
low     1 2 3 4 5     high

Chemical weapons
low     1 2 3 4 5     high

Biological weapons
low     1 2 3 4 5     high

All-out nuclear war
low     1 2 3 4 5     high

Using Fallout Shelter to prepare before an attack
low     1 2 3 4 5     high

Using Fallout Shelter to make decisions after an attack
low     1 2 3 4 5     high

How do we reach you?

First name:  *
Last name:  *
Organization:
Street address 1:   
Street address 2:   
City:
State/Province:
Zip/Postal code:
Country:
Phone:
Fax:
Email:  *
Comments:

You can stop here if you like, but we hope you'll continue below and answer the survey before you click the Send button.


survey

This is the nosy part. Skip any questions you don't want to answer.

Why are we asking? You wouldn't be here if you weren't interested in our products. Combining your answers with the others we get, we hope to have a better idea of what sort of person Fallout Shelter appeals to. Which will tell us where and how to publicize the product.

Why should you answer? Enlightened self-interest. If through your help we are able to attract more customers, we'll be able to continue to enhance and support Fallout Shelter. Which will improve your own preparedness.

And who knows — maybe if enough of us are prepared, it will have a deterrent effect.

By the way, please share any ideas you have on how the questions can be improved.

Are you male or female?
male female

How old are you?
under 13 13 - 17 18 - 20 21 - 25 26 - 30 31 - 35 36 - 40 41 - 45 46 - 50 51 - 55 56 - 60 61 - 65 66 - 70 71 - 80 over 80

What is your current living situation?
living alone living with spouse or significant other living with roommate living with parent(s)

Do you have any children?
no
yes — at home grown

How often do you travel?
rarely occasionally often constantly

How much schooling have you had?
I didn't finish high school
high school
some college
certification
bachelor's
master's
doctorate

Which is closest to describing your politics?
liberal / progressive / green
conservative
libertarian / constitutionalist
liberal on social issues, conservative on fiscal
moderate / centrist
oblivious
other

How important is religion in your life?
irrelevant     1 2 3 4 5     essential

What are legitimate uses of guns?
there aren't any
these: police military target shooting hunting self-defense defense against tyranny
whatever I want

Did you serve (or are you currently) in the military, including national guard?
no yes, previously yes, in reserves now yes, on active duty

Do you trust the government to keep you safe from terrorism?
no yes trust but verify

Did you take steps to prepare for Y2K?
no yes

What kind of work do you do?
management administrative financial manufacturing sales / marketing science technical computers clergy teaching service industry law police / fire art / graphics writer health care agriculture government transportation performing arts laborer / construction student military homemaker self-employed other retired

How handy are you?
all thumbs small projects master craftsman

Can we ask you follow-up questions?
no way sure


Thanks!

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