How old are you?

0-15 16-20 21-25 26-30 31-35 36-40 41-50 51-65 66+

Your sex?

Female Male

What city and state do you live in?

How often do you play poker?

Daily 3-4 times a week Once a week A couple times a month A couple times a year

Who taught you to play poker?

Male family member (dad, brother) Female family member Boyfriend or husband Male friend Female friend Self-taught Other (none of the above)

How long have you been playing poker?

Still learning 1-6 months 7-12 months 1-2 years 3-5 years 6-10 years 11-20 years 21+ years

Mark any of the following books that you have read:

Doyle Brunson's Super System

Caro's Book of Poker Tells

Phil Hellmuth's Play Poker Like the Pros

Bad Ass Girl's Guide to Poker

How I Raised, Bluffed, Flirted, Cursed ... (Annie Duke)

Outplaying the Boys (Cat Hulbert)

Please list any other poker books you have read:

Please list any poker instructional videos you have watched:

Please check all of the places where you play poker:

Online

Home games ( not online, not at a casino)

Local casinos/poker rooms

Out-of-state casinos/poker rooms

Rate your poker skill level:

Beginner Intermediate Advanced Professional

When you play poker face-to-face, who are your opponents?

Mixed - half men, half women Mostly men Mostly women

Did or do you play competitive sports?

Yes

No

What is your level of education?

Currently in jr. high/high schoolHigh school grad/GEDSome college4 year degree (B.A. or B.S.)Post-Graduate (M.A. etc.)PhD/JD/MD (doctorate)

What is your #1 reason for playing poker?

What limit do you play?

Limit Pot Limit No Limit

What monetary level do you usually play at?

No money (play with points or free chips) $1/$3 $2/$5 $5/$10 $10/$20 $15/$30 $25/$50 $50/$100 $101+ (high stakes)

What is your preferred game of poker?

7 Card Stud5 Card StudOmahaTexas Hold'EmOther (not listed)

How do you prefer to play?

Tournaments Sit & Go (Cash Games) No Preference

What do you think you need to improve on in your poker game? (Choose all that apply.)

Not aggressive enough (too tight, do not gamble enough)

Make bad calls (not folding when you should)

Reading other players better

Poor financial management

Poker face/bluffing

Calculating odds

Play too loose (play too many hands)

Other improvements - Please explain:

What do you think are the strengths in your poker game? (Choose all that apply.)

Aggressive play

Make good calls (know when to fold)

Read other players well

Good financial management

Poker face/bluffing

Calculating odds

Shift gears well (play both loose and tight, balanced)

Other strengths - Please explain: