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Name
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First
Last
bankroll? game? sports?
Phone/Text
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Email
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Age Range
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18-24
25-34
35-44
45-54
55-64
65 and over
Gender
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Male
Female
How often do you wager on sports?
*
Daily
A few times per week
A few times per month
A few times per year
What is your average bet per game?
*
Less than $25
$25 to $100
$100 to $500
$500 to $1,000
$1,000 to $5,000
$5,000 or more
What is your monthly bankroll?
*
Less than $500
$500 to $1,000
$1,000 to $5,000
$5,000 to $10,000
$10,000 or more
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