- Name & Address:
- Your date of birth:
- Marital Status:
Married
Single
- Date of purchase:
- Model number:
- Purchased from (name of store, catalog, etc.):
- What two (2) factors
most influenced your decision to purchase from this retailer/dealer?
- What is your role in the company?
- Who had the biggest influence in purchasing this product?
- What type of business are you in?
- How many employees are at your company?
- What percentage of the employees at your facility are office workers?
%
- In what office environment will this furniture be used?
- For what reason did you purchase your new office furniture?
- What three (3) factors most influenced
your purchase?
- Who assembled/will assemble your furniture?
- Please rate your satisfaction with:
- Which of the following office products do you intend to purchase in the next year?
- Would you consider purchasing another one of our products?
- 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:
-
Please tell us how many magazines your household:
- Which of the following
do you plan to do within the next 6 or 12 months?
- 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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This statement discloses the privacy practices of this Product Registration website. We believe you should know:
1. What information this site gathers about you
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We collect personal information about our users only during product registration. We do not use cookie technology to track your movements.
We respect your right to privacy. As part of the entry process, we give you the opportunity to decline to receive any communications from
other parties to whom we may provide such information.
The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We
use this to understand that audience and to improve our offerings to you, our customers.
The personal information you provide - name, address, etc. - allows us to inform you of additional special offers which may be forthcoming,
and to send you coupons, or notify you of products and services of our affiliates that relate directly to your specific interests, hobbies
or other information you have given.
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