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Coastal Canine Reader Survey

Fill out this survey for your chance to win a $25 gift Certificate to LaLa Grill in Monterey. One entry per person please. Limit of two entries per household. Winner will be notified June 1, 2009.

Contact Information:

Name:	A value is required.
Address:	A value is required.
City:	A value is required.
State:	A value is required.
Zip:	A value is required.
Phone:	A value is required.
Email:	A value is required.

On average, how often does your dog go for a walk?

A few times a week
Once a day
Twice a day
More than twice a day
Other

Please make a selection.

What stops you from exercising your dog as much as he/she would like? (Choose as many as apply.)

Not enough time
My own physical limitations (bad back, shoulder, etc.)
Not enough $$ to hire someone to help
My dog doesn't get along with other dogs
My dog doesn't walk well on leash
Other

Please make a selection.

Where is your dog's favorite place to romp?

A value is required.

If this is your first time filling out one of our surveys, please tell us where you heard about Coastal Canine.

Would you like to be added to the Coastal Canine E-mail list to receive two email updates per month with the latest doggy news?

Yes
No

Please make a selection.