Below is an example of a "blind" poll that we created for you as an example.  Feel free to take it knowing that we won't call you unless you ask us to. 

Beyond this simple example, we can ask any type of contact information, other questions and we can lay out the design any way we want.  Please let us know what you think of it after taking the example poll.

 

What is your most important marketing function?*
Brand Awareness
Direct Sales
Lead Generation
Something Else
How important are the following to your organization right now?*
VerySomewhatNot at All
Email Marketing
Customer Surveys
Event Marketing
Advertising (newspaper, radio, tv)
Search Engine Optimization
Offer Testing