Please tell us about yourself:

1. Name: 

2. Email:

3. Confirm Email:

 4. Phone: * Optional.  To contact winner of the VIP World Cup Ticket

5. Country: Australia Austria Belarus Belgium Brazil Canada Columbia Denmark Finland France Germany Japan Mexico Netherlands New Zealand Norway Poland Portugal Romania Russia Singapore Slovakia Slovenia South Africa Spain Sweden Switzerland United Kingdom - Great Britain USA Other - Not listed

6. State if USA Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Not Listed

7. Sex: Female Male

8. Age: 
Under 21
21 - 30
31 - 40
41 - 50
51 - 60
over 60

9. Annual Household Income under $25,000 $25,000 - $49,999 $50,000 - $74,999 $75,000 - $99,999 $100,000 - $150,000 $150,001 - $200,000 $200,001 - $300,000 over $300,001

10.  Number of cars and trucks owned 0 1 2 3 4 or more

11. Vehicle manufacturer (Select one for each vehicle owned) BMW Buick Cadillac Chevrolet Chrysler Dodge Ferrari Ford GMC Honda Hyundai Isuzu Jaguar Jeep Land Rover Lexus Lincoln Maserati Mazda Mercedes-Benz Mitsubishi Nissan Oldsmobile Plymouth Pontiac Porsche Rolls-Royce Subaru Suzuki Toyota Volkswagen Volvo Other - Not Listed

12.  Internet Access: Yes No

13. Internet Access Speed:  No internet access 56 K or under (Dial Up) High Speed - DSL High Speed - Broadband Other - Not Listed

14. Do you shop on the internet? Yes No

15. Have you purchased anything online in the past 30 days? Yes No

16.  How much do you spend on the net each year? 0 $500 or less $501 - $1,000 $1,001 - $1,500 $1,501 - $2,000 $2,001 - $2,500 $2,500 - $5,000 over $5,001

17.  Do you rent or own your home?  Own Rent

18.  Value of home Less than $75,000 $75,001 - $100,000 $100,001 - $150,000 $150,001 - $200,000 $200,001 - $250,000 $250,001 - $300,000 $300,001 - $500,000 $500,001 - $1,000,000 over $1,000,000

19.  How often do you travel in a year? 0 1 - 3 times 4 - 6 times 7 - 10 times 11 - 20 times more than 20 times

20. Do you travel for Pleasure Business Business and Pleasure

21.  Do you travel Domestic International

22. Education College degree Some college High school Professional/Trade/Tech School Masters Degree Doctorate Degree Post Doctorate Other

23. How many horses do you own?  0 1 2 3 - 6 7 - 10 over 10

24.  Do you ride for Pleasure Competition Professional

25. Riding Discipline Dressage Driving Endurance Eventing Hunter/Jumper Trail Riding Western

26.  Have you had formal riding instruction? Yes No

27.  If yes, how much and what type of riding instruction?

28. Do you own a cell phone?
Yes No

29.  How many books do you read in a year? 0 1 - 5 5 - 10 over 10

30.  What level of dressage do you ride? Intro Training First Level Second Level Third Level Fourth Level PSG - Intermediaire Grand Prix Do not ride dressage

31.  How many years have you been riding? 0 1 year 2 - 3 years 4 - 5 years 6 - 10 years over 10 years

32.  Where do you keep your horses? At Home Board Board with trainer Do not have a horse

33.  Average amount spent each month per horse, including feed, vet, farrier, and tack:

Less than $100 $100 - $250 $251 - $500 $501 - $750 $751 - $1,000 $1,001 - $1,500 $1,501 - $2,500 $2,501 - $4,000 over $4,000 None -- do not have a horse

34.  What brand of horse feed do you use?  ACCO Blue Seal Feed Buckeye Feed Manna Pro MoorMan Purina Mills Seminole Feed TizWhiz Vita Plus Win Circle Other - Not Listed fill in below None - do not have a horse

Other - Not Listed - Fill in

35.  Do you have a dog?  Yes No

36.  What brand of dog food do you use? None Alpo Beneful Bil-jac Eukanuba Iams Pedigree Purina Science Diet Other - Not Listed

37.  Do you watch Dressage un Ltd on RFD tv? Yes No

38.  If you do watch Dressage un Ltd on RFD tv, select Dish satellite Direct TV Satellite Cable Do not watch Dressage un Ltd tv

39.  Favorite Chocolate Dark Milk Other

40.  What areas of your riding would you like more assistance: Horse Care / Feeding Ground handling Instruction Training the horse Other - not listed None -- do not ride

41.  Occupation: 

42.  Favorite brand of saddle Albion Barnsby Bates - Wintec County Courbette La Salleria Passier Sommer Stubben Other - Not Listed

43.  Favorite horse products not on this survey

44. Sponsors you'd recommend for Dressage un Ltd tv 

45. Dressage VIP you'd most like to meet

46.  Favorite Event Souvenir T-Shirt color White Beige Light Blue Red Navy Other -- please fill in color in next box

47.  Would you like to be added to Dressage un Ltd's email newsletter list?  Yes No

48.  Additional comments

Thank you for your input.