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Help us Develop New Products: We value your input! Your responses will help us bring you new products specifically designed to meet your needs.
  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. Telephone Number: ( ) -
  8.  
  9. Model number:
  10.  
  11. Serial number: (located on opener, near light socket)
  12.  
  13. Where did you purchase this opener? (Dealer or Retailer Name)
  14.  
  15. Did you:
    Purchase this product yourself? Receive this product as a gift?
  16.  
  17. Was this purchase part of a new home purchase?
    Yes No

    If yes, was it a:
    Standard option Upgrade option
  18.  
  19. Is this product:  
    The first product of this type you have ever owned?
    A replacement for a similar LiftMaster product?
    A replacement for a similar product made by another company?
    An addition to a similar product you are still using?

    If replacement, for which brand?
    Alliance
    Chamberlain
    Genie
    Lift-A-Door
    LiftMaster
    Promax
    Sears
    Stanley Door
    Overhead Door
    Wayne Dalton
    Other

    If replacement, approximate age of unit being replaced:  years old
  20.  
  21. What factors most influenced your decision to purchase this product? (check up to three)
    Good Housekeeping Advertisement
    Good Housekeeping Seal of Approval
    USA Today Advertisement
    Information from our Website.
    Price
    Safety Features
    Quality/Durability
    Installation Availability
    Reputation of Dealer
    Salesperson’s Recommendation
    Friend’s/Relative’s Recommendation
    Radio Advertisement
    TV Advertisement
    Newspaper Advertisement
    Other
  22.  
  23. Was this product installed by:
    Yourself
    A Professional
    A Friend
  24.  
  25. Size of your garage where the product was installed?
    1 Car
    2 Car
    3 Car
    4+ Car
  26.  
  27. Number of doors in garage with openers:
    1
    2
    3
    4+
  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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