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Survey Name Warranty Demographics
Description Demographic, purchase and product information for warranty survey.
Category Product Surveys   (Browse All Categories)

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Occupation: (check all that apply)
YouSpouse
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
 
   
Product Model: (on tag in product. Example: "LBI###")
 
 
   
Name of store where purchased:
 
 
   
What type of [Brand] product did you purchase?
Model 1
Model 2
Model 3
Model 4
Model 5
 
   
How would you describe this purchase? (check only one)
First time purchase
Addition to current [Brand] product(s) owned
Addition to product owned (other brand)
Replacement of [Brand] product owned
Replacement of product owned (other brand)
 
   
What other brands did you consider?
Brand 1
Brand 2
Brand 3
Brand 4
 
   
How do you plan to use this product?
For Work
For School
For the Outdoors
Other
 
   
Was this product...
received as gift?
a self-purchase?
 
   
How did you first learn about [Brand] products?
Friend/relative
Salesperson
Ads/promotions
Via the internet/website
In-store display
Other
 
   
Which of the following MOST influenced your purchase of [Brand] products?
In-store display
Previous experience with the brand
Price/Good value
Style/Appearance
Color/Design
Size/Capacity
Weight
Warranty
Comfortable
Quality construction/Durability
 
   
Your date of birth: (month and year)
 
 
   
Marital status:
Married
Single
 
   
Which group describes your annual family income?
Under $60,000
$60,000-$74,999
$20,000-$24,999
$75,000-$99,999
$100,000-$124,999
$125,000 & above
 
   
Level of education: (check the highest level completed)
Completed high school
Completed college
Completed graduate school
 
   

Demographic Information
Name
 
Address
 
City
 
State
 
Zip
 
Email Address
 
 


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