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  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.  
  3. Your date of birth:
  4.  
  5. Marital Status: Married Single
  6.  
  7. Date of purchase: 
  8.  
  9. Product name:
  10.  
  11. UPC number:
  12.  
  13. Name of store where purchased:
  14.  
  15. Price paid (excluding sales tax): $ .00
  16.  
  17. What are the top three (3) reasons influencing the purchase of your product?
     
    Browning Reputation
    Advertising
    Color
    Design
    Ease of Use
    Good Fit/Comfort
    Insulation Materials
    Item on Sale/Sale Price
    Lightweight
    Met Important Requirements
    Prior Experience with Browning
          Camping

    Quality/Durability
    Received as Gift
    Recommendation of Friend/Relative
    Recommendation of Salesperson
    Safety Features
    Saw Product in Use
    Shape
    Size
    Special Features of Product
    Style/Appearance
    Value for Price
    Warranty
    Website
    Other
  18.  
  19. Which of the following outdoor products and brands do you currently own? (check all that apply)
     
      Tent Sleeping Bag Backpack Child Carrier Airbed
    Arc'Teryx
    Camp Trails
    Coleman
    Columbia
    Dana Designs
    Eddie Bauer
    Eureka
    Gregory
    Hillary
    Kelty
    Lowe
    Marmot
    Mountain Hardwear
    Mountainsmith
    Ozark Trail
    Patagonia
    Sierra Designs
    The North Face
    Wenzel
    None
    Other
  20.  
  21. Which of these products do you plan to purchase in the next 12 months?
     
    Airbed
    Backpack
    Backpacking Tent
    Cast Iron Cookware
    Cooking Set
    Daypack
    Dining Canopy
    Family Camping Tent
    Hammock
    Hydration System
    Outdoor Fire Pit
    Outdoor Furniture
    Screen House
    Sleeping Bag
    Travelpak/Duffel
  22.  
  23. Where do you plan to shop/purchase any of the items listed above in question 11?
     
    Specialty Outdoor Store
    General Sporting Goods Store
    Mass Merchant Store
    Mail Order
    Internet
  24.  
  25. Which of the following magazines do you read on a regular basis?
    (3 out of last 4 issues)
     
    Backpacker
    Camping Life
    Climbing
    Family Fun
    Field & Stream
    Hooked on Outdoors
    Maxxim
    Men's Health
    Men's Journal
    National Geographic Adventure
    Outdoor Life
    Outside
    Powder
    Self
    Shape
    Sierra
    Ski
    Skiing
    Sunset
    Triathlete
  26.  
  27. A.) What outdoor activities do you and your family frequently participate in together?
          (3 or more time per month)
     
    Walking
    Hiking
    Backpacking
    Cycling
    Mountain Biking
    Tent Camping
    Car Camping
    Skiing
    Hunting
    Other

    B.) Who inspired you to participate in these activities?
     
    Friend
    Family
    School Trip
    Scouts
    Church Group
    Outing Club

    C.) Which of the following sports/recreation/fitness activities do you participate in?
         (check all that apply)  
    Attending Sporting Events
    ATV
    Backpacking/Hiking
    Bowling
    Climbing
    Cross-country/Nordic Skiing
    In-Line Skating
    Kayaking/Canoeing
    Martial arts
    Motorcycling
    Personal watercraft
    Rafting
    RV/Pop-up camping
    Scuba Diving
    Snowboarding
    Snowmobiling
    Snowshoeing
    Swimming
    Team Sports
    Telemark skiing
    Video/Computer Games
    Water skiing/Wake Boarding
    Workout in gym

  28.  
  29. 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):
  30.  
  31. Occupation: (check all that apply)
     
      You Spouse
    Professional/Technical
    Upper Management/Executive
    Middle Management
    Sales/Marketing
    Clerical/Service Worker
    Tradesman/Machine Operator/Laborer
  32.  
  33. 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?
  34.  
  35. 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
  36.  
  37. Level of education: (select highest level completed)
     
    Completed High School
    Completed College
    Completed Graduate School
  38.  
  39. Which credit cards do you use regularly?
     
    American Express, Diners Club
    MasterCard, Visa, Discover
    Department Store, Oil Company, etc.
    Do not use credit cards
  40.  
  41. For your primary residence, do you:
     
    Own? Rent?
  42.  
  43. 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
  44.  
  45. 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
  46.  
  47. 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
  48.  
  49. 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
  50.  
  51. Using the numbers in the above list, please indicate your 3 most important activities:
     
           




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