The BlogRollers Media HOT List
Contact & Demographic Information
1.
Contact Information
First Name
Last Name
Street Address
Apt/Suite/Office
City
State
Postal Code
Email Address
Preferred Phone Number
2.
Gender (Hey, we found out that guys/dad bloggers want to be on the HOT List too)
Male
Female
3.
Age
25-34
35-44
45-54
55-65
Over 65
4.
Race/Ethnicity
Asian/Pacific Islander
Black/African-American
Caucasian
Hispanic
Native American/Alaska Native
Other/Multi-Racial
Decline to Respond
5.
Children
Yes, I have children
No, I do not have children
Pregnant with my first
6.
Short Bio
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