Salutation: Mr Mrs Ms Miss First Name: Last Name: Street Address: City: State: Zip Code: E Mail Address: Date of birth: Marital Status: Sex: Where did you first hear about our company? -- please select one -- Friend Store shelf Retail advertisement Internet Do you currently own any of our products? No Yes If yes, which types? beach chairs umbrellas lawn chairs beach accessories crafting centers hunting accessories folding tables camp furniture camp kitchen other Where did you purchase our products? -- please select one -- discount store department store wholesale club mail order catalog tv shopping channel Why was this product purchased?: -- please select one -- purchased for your own use received as a gift purchased as a gift What three factors most influenced your decision to purchase our product? (Check only 3) brand reputation store display style/appearance function quality/durability price advertising other (please specify) Which group best describes your family income? -- please select one -- Under 20k 20k - 30k 30k - 40k 40k - 50k 50k - 60k 60k - 75k 75k - 100k over 100K Level of education -- please select one -- high school some college completed college some graducate school completed graduate school For your primary residence, do you?: own rent To help us understand our customer’s lifestyles, please indicate the interests and activities in which you or your spouse enjoy participating in on a regular basis. physical fitness/exercise competitive sports camping/hiking hunting fishing needlework/knitting/sewing crafting gardening automotive work listening to music surfing the Internet domestic travel international travel gourmet cooking/fine wines casino gambling watching sports on TV Thank You 3 + 8 =
