- Name & Address:
- Your date of birth:
- Marital Status:
Married
Single
- Telephone Number: (
)
-
- Date of purchase:
- Did you receive this cookware as a bridal gift?
- Name of store
where purchased/location of bridal registry:
- What Farberware product line did
you purchase?
FARBERWARE:
- From what type
of store or catalog did you purchase this Farberware product?
- Which of the following brands did you seriously consider before purchasing your Farberware
cookware?
- What factors most influenced
your purchase? (check up to 3)
- How did you first become aware of this product?
- Which best describes the Farberware product purchased?
- Which of the following best describes
this purchase? (check all that apply)
- Not including yourself,
what is the GENDER and AGE (in
years) of children
and other adults living in your household?
- Occupation: (check
all that apply)
- Are you or your spouse:
- 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 |
- Level of education: (select
highest level completed)
- Which credit cards do
you use regularly?
- For your primary residence,
do you:
-
How recently did you move into your current residence?
- Which of the following
do you plan to do within the
next 1-6 or 7-12 months?
(select all that apply)
- Please check all that
apply to your household.
- 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.
- Using the numbers in
the above list, please indicate your 3 most important activities:
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