Gilded Serpent 2002 Community Survey	Please circle or fill in answer
1) Have you heard of Gilded Serpent before today?	yes	no
2) Have you visited Gilded Serpent on line?	yes	no
3) Gender	female	male
4) Your age:	under 21	21-34
	35-50	51-65
	66+	top secret
5) What term best describes you?	musician	dancer
Level- absolute beginner			vendor
beginner with some dabbling			fan
intermediate
advanced
professional
6) I attend… (check all that apply)	group classes with just one teacher	group classes with more then one teacher
	private lessons	workshops
	clubs/restaurants	none
7) Income Level:	under 25K	25K-50K
	50K-75K	75K -above
8) Occupation _______________________
9) How much do you spend on Bellydance products and services per year? (costuming, lessons, etc.)	under$1000	1K-5K	$5K +
10) How much do you spend on Middle Eastern products in general per year? (décor, cooking items, etc)	under$1000	1K-5K	$5K +
11) Where do you typically purchase these items-                        check one or both	online	retail
music
video
books
DVD
complete costumes
supplies
props-zils, canes, etc.
gift certificates
12) I have a DVD player ……	in my computer	with my stereo	I don't
13) I access the internet…	at home per 28 modem	home 56k modem	library or friend's house
	home DSL/cable	work     DSL/cable	none
14) Do you have a Web site?	yes	no	URL is:
Instructors- please see other side!
For Teachers
15) I teach…	dance	music	both
16) The number of beginning students I taught this last year is…
17) The number of beginning student I have taught in my teaching career is…
18) The number of professional musicians or dancers I have produced so far is…
Thank you for your participation