Automate banner

  1. Name & Address:  
     
    * Title Mr.    Mrs.    Ms.    Miss
    * First Name Initial * Last Name
           
    * Street Apt. No. * City
    * State/Province * Zip/Postal Code
    * E-mail Address
    2.  
  2. Your date of birth:
    3.  
  3. Marital Status: Married Single
    4.  
  4. Date of purchase: 
    5.  
  5. Model number:
    6.  
  6. Name of store where purchased:
    7.  
  7. Price paid (excluding sales tax): $ .00
    8.  
  8. Which Automate product did you purchase?
     
    Automate One-way Security System
    Automate Two-way Security System
    Automate Keyless Entry System
    Automate One-way Remote Start System
    Automate Two-way Remote Start System
    Automate SSKR Anti-Theft System
    Automate One-way Combined Remote/Start Security System
    Automate Two-way Combined Remote/Start Security System
    Automate GPS Tracking System
    9.  
  9. Which type of vehicle will this product be used in?
     
    Car
    Truck
    SUV
    Van
    MiniVan    		 Motorcycle
    Boat
    Motor home
    Other
    10.  
  10. In what vehicle will this product be used?
     
    Make of vehicle: Bought new
    Model name: Bought used
    VIN# : Lease
    Year: Leased used
    11.  
  11. How did you first become aware of this product?
     
    Local newspaper
    Yellow pages
    Magazine advertisement
    TV commercial
    Magazine article/review
    Friend/relative's recommendation    		 Radio commercial
    Salesperson's recommendation
    Motorsports sponsorship
    Internet
    Other
    12.  
  12. What factors most influenced the purchase? (check up to three)
     
    Automate's reputation
    Experience with Automate products
    Experience with dealer
    Value/price
    Warranty
    Special features
    Quality/durability
    Display in-store demo    		 Rebate/promotion
    Style/design/color
    Dealer proximity
    Friend's recommendation
    Salesperson’s recommendation
    Compatibility with vehicle
    Other
    13.  
  13. What benefits of this product most influenced your decision to purchase?
    (check up to three)
     
    Improved security
    Improved convenience
    Compatibility with vehicle
    Ease of installation
    Style/design/color
    Special features
    Quality/durability
    Increase vehicle value
    Functionality    		 Warranty
    Price/value
    Rebate/promotion
    Immediate availability
    Friend's recommendation
    Salesperson's recommendation
    Dealer proximity
    Other
    14.  
  14. What other brands did you seriously consider before making this purchase?
     
    None, only Automate
    Audiovox
    Prestige
    Clifford
    Avital
    Ungo     		Viper
    Code Alarm
    Crime Stopper
    Black Widow
    LoJack
    Other
    15.  
  15. Which of the following publications do you read regularly (three out of the last four issues)? (check all that apply)
     
    Car and Driver
    Car Audio & Electronics
    Car Sound and Performance
    Hot Boat
    Import Tuner
    Import Racer
    Lowrider
    Mini Truckin'
    Motor Trend
    Performance Auto & Sound
    Road & Track
    Rolling Stone    		 SKATEboarding
    Ski
    Snowboard
    Spin
    Sport Compact Car
    Sport Truck
    Street Trucks
    Super Street
    Truckin'
    Working Woman
    Other
    16.  
  16. Not including yourself, what is the GENDER and AGE (in years) of children
    and other adults living in your household?
     
    No one else in household Child under 1 year
    1. Male Female Age (in yrs):
    2. Male Female Age (in yrs):
    3. Male Female Age (in yrs):
    4. Male Female Age (in yrs):
    17.  
  17. Occupation: (check all that apply)
     
      You Spouse
    Professional/Technical
    Upper Management/Executive
    Middle Management
    Sales/Marketing
    Clerical/Service Worker
    Tradesman/Machine Operator/Laborer
    18.  
  18. Are you or your spouse:  
     
      You Spouse
    A Homemaker?
    Retired?
    A Student?
    Self Employed/Business Owner?
    Working from a Home Office?
    In the Military?
    A Veteran?
    19.  
  19. Which group describes your annual family income?
     
    Under $15,000
    $15,000-$19,999
    $20,000-$29,999
    $30,000-$39,999
    $40,000-$49,999     		$50,000-$59,999
    $60,000-$74,999
    $75,000-$99,999
    $100,000-$124,999
    $125,000-$149,999     		$150,000-$174,999
    $175,000-$199,999
    $200,000-$249,999
    $250,000 & over
    20.  
  20. Level of education: (select highest level completed)
     
    Completed High School
    Completed College
    Completed Graduate School
    21.  
  21. Which credit cards do you use regularly?
     
    American Express, Diners Club
    MasterCard, Visa, Discover     		Department Store, Oil Company, etc.
    Do not use credit cards
    22.  
  22. For your primary residence, do you:
     
    Own? Rent?
    23.  
  23. How recently did you move into your current residence?
     
    Within 30 days
    Within 1-3 months
    Within 4-6 months     		7 to 12 months ago
    Have not moved in the last 12 months
    24.  
  24. Which of the following do you plan to do within the next 1-6 or 7-12 months?
    (select all that apply)
     
      1-6 Months 7-12 Months
    Buy/Lease a New Vehicle
    Buy/Lease a Used Vehicle
    25.  
  25. Please check all that apply to your household.
     
    Shop by Catalog/Mail
    Shop via the Internet
    Member of Frequent Flyer Program
    Donate to Charitable Causes
    Own a Compact Disc Player
    Have a Dog     		Have a Cat
    Own a Wireless/Cellular Phone
    Speak Spanish
    Own an Apple/Macintosh Computer
    Own a CD-ROM Drive
    26.  
  26. To help us understand our customers' lifestyles, please indicate the interests
    and activities in which you or your spouse enjoy participating on a regular basis.
     
    01. Bicycling
    02. Golf
    03. Physical Fitness/Exercise
    04. Running/Jogging
    05. Snow Skiing
    06. Tennis
    07. Camping/Hiking
    08. Fishing
    09. Hunting/Shooting
    10. Powerboating
    11. Sailing
    12. Grandchildren
    13. Needlework/Knitting
    14. Sewing
    15. Flower Gardening
    16. Vegetable Gardening
    17. Crafts
    18. Buy Prerecorded Videos
    19. Automotive Work
    20. Electronics
    21. Home Workshop/Do-It-Yourself
    22. Recreation Vehicles (RVs)
    23. Listen to Records/Tapes/CDs
    24. Avid Book Reading
    25. Bible/Devotional Reading
    26. Health/Natural Foods     		27. Photography
    28. Cultural/Arts Events
    29. Fashion Clothing
    30. Art/Antique Collecting
    31. Foreign Travel
    32. Cruise Ship Vacations
    33. Travel in USA
    34. Gourmet Cooking/Fine Foods
    35. Wines
    36. Stamp/Coin Collecting
    37. Collectibles
    38. Our Nation’s Heritage
    39. Real Estate Investments
    40. Stocks/Bond Investments
    41. Contests/Sweepstakes
    42. Casino Gambling
    43. Science Fiction
    44. Wildlife/Environmental Issues
    45. Dieting/Weight Control
    46. Science/New Technology
    47. Self-Improvement
    48. Walking for Health
    49. Watching Sports on TV
    50. Home Video Recording
    51. Moneymaking Opportunities
    27.  
  27. Using the numbers in the above list, please indicate your 3 most important activities:
     
           
    28.  
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