Please complete the following questions in order to be added to our database of prototype testers!

1.

Please provide the following information.

*

*Requiredxx

*Required

2.

Where do you currently live?

3.

Please provide your age.

*

*Requiredxx

*Required

Under 18

18 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 +

4.

Please provide your gender.

*

*Requiredxx

*Required

Male

Female

Prefer not to say

Other (please specify)

*Enter answer

5.

Please identify your ethnicity.

*

*Choose between and selections

*Choose between 1 and 7 selections

yes

1

7

Asian or Pacific Islander

Black or African American

Hispanic or Latino/Latina

Native American or Alaskan Native

White or Caucasian

Prefer not to say

Other (please specify)

*Enter answer

6.

Please provide your height.

*

*Requiredxx

*Required

7.

Please provide your handicap. If you do not have a handicap, please enter a range for your typical score on 18 holes (e.g. 81 - 85).

*

*Requiredxx

*Required

8.

How did you hear about us?