EDIT: Removed some information from post, see first comment below
EDIT THE SECOND:
Thanks to some feedback, I've reworked the survey to be much more specific.
Here's a link to the old version still if you're curious: http://www.kwiksurveys.com?s=NCDDNO_70bf3cda
Let me know if there's any issues with the survey or anything you think I should add/change. Also let me know if you're interested in the results too!