Please answer the following questionnaire ... I like the idea of the chip card as an alternative to carrying cash [] Agree [] Disagree [] Not Certain I am more likely to use the chip card to make small purchases (under $10) [] Agree [] Disagree [] Not Certain I am more likely to use the chip card to make large purchases ($50 and up) [] Agree [] Disagree [] Not Certain I would use the chip card for most of my purchases, if possible. [] Agree [] Disagree [] Not Certain I am more likely to use the chip card as an alternative to using my credit card [] Agree [] Disagree [] Not Certain ******************************* If you have used the new chip card, please answer the following: Which of the chip cards have you used? [ ] Citicard [] CitiGold [] Money Card Using the load kiosk to load cash value onto my chip card was very simple/easy [] Agree [] Disagree [] No Opinion Loading cash value onto my chip card from home was very simple/easy [] Agree [] Disagree [] No Opinion [] Not Applicable Using the card reader to check my chip card balance and/or to review transactions was very simple/easy [] Agree [] Disagree [] No Opinion Making a purchase with the chip card at a merchant was simple/easy [] Agree [] Disagree [] No Opinion I would recommend the chip card to my family or friends [] Agree [] Disagree [] No Opinion ************************************* Tell us about yourself Age group [ ] under 21 [ ] 21-29 [ ] 30-39 [ ] 40-49 [ ] 50-64 [ ] over 65 Sex [ ] male [ ] female What sort of plastic cards do you currently carry with you? (Check all that apply) [ ] credit card [ ] charge card [ ] ATM card [ ] telephone card [ ] gas card [ ] department store card [ ] MetroCard [ ] other   What is your occupation? [ ] student [ ] artist [ ] self-employed or business owner [ ] sales or clerical [ ] administrative / management [ ] craftworker (electrician, carpenter, etc) [ ] industry or service worker [ ] not employed [ ] other Optional Information First Name: Last Name: E-mail: Address1: Address2: City: State: Zip: Telephone: Please tell us what local merchant you would like to see accepting VISA Cash