17) How many times have you been to the movies at a theater in the past 12 months?
Less than 6
6-7
8-9
10-11
12 or more
18) Are you a Male/Female?
Male
Female
19) Do you have a child/children below the age of 12 living in your home?
Yes
No
20) If yes, what are their ages/genders?
Boy 0-5 years
Girl 0-5 years
Boy 5-7 years
Girl 5-7 years
Boy 8-9 years
Girl 8-9 years
Boy 10-11 years
Girl 10-11 years
21) Your Age?
Under 13
13-17
18-24
25-35
35-54
Over 54
©Disney
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