Sharp Registration PES

Zaurus

Thank you for your purchase of this product. We ask that you please take a moment to complete and submit this brief questionnaire. This information enables us to improve existing products, develop new products, and reach our customers more efficiently.

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1:	Personal Information
	Title: (required) Mr. Mrs. Ms. Miss
	First Name (required)	Initial

	Last Name (required)

	Street (required)	Apt No.

	City (required)

	State (required)	Zip Code (required)

	Email Address

Your date of birth:

Marital Status:

Married

Single

4:	Date of Purchase: (required)

5:	Model Number: (required)

6:	Serial Number:

Would you like to be on the Sharp Zaurus newsletter mailing list that will have information about Zaurus tips, software and new peripherals?

Yes No

Would you like to be notified of any Zaurus promotions?

Yes No

9:	Price paid: (excluding sales tax) $ .00

10:	How did you first become aware of this Sharp product? (check only one) Store Display Friend/Relative Salesperson Magazine/Newspaper Article Magazine Ad Newspaper Ad TV/Radio Ad In-flight Video Sharp Home Page Online Service Flyer/Direct Mail Mail/E-mail from Sharp Mail Order/Catalog Other

11:

Before purchasing this product, which PDAs did you compare?

Did not compare with others
Palm Pilot Series
Casiopeia
Other palm type (Not WinCE)
HP Jornada Series
Compaq Aero Series
Visor Series
Other color palm size (WinCE)

12:

Which PDA did you use before purchasing this one?

This is My First PDA
Palm Pilot
Windows CE Based model
Other Operating System Based Model

13:

Who purchased this product?

Received as a Gift
Self-Purchase
Self, Company Reimbursed
Company Purchased

14:

What factors most influenced your decision to purchase this product? (check all that apply)

Operating System
Price
Keyboard
Color TFT Screen
CPU Speed
Internal Memory Size
One-hand Operation
Cursor Key
Stereo Earphone Jack
Compact/Lightweight
Design/Appearance
Sharp Brand
Windows Platform
Automatic Sync of Data with PC
Calendar/Contacts/Tasks
Note Taking Capability
E-mail
Web Browsing
Mobile Channel
Movie Playing
Viewing Still Image
Playing Audio Contents
Bonus Software
PIM Data Conversion Software
Warranty Coverage
Retail Campaign (Rebate, etc.)
Trial Use
Other

15:	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):

16:

Occupation: (select all that apply)

	You	Spouse
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing
Clerical/Service Worker
Tradesman/Machine Operator/Laborer

17:

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 Federal Employee?

18:	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

19:	Level of education: (select highest level completed)
	Completed High School Completed College Completed Graduate School

20:	Which credit cards do you use regularly?
	American Express, Diners Club MasterCard, Visa, Discover Department Store, Oil Company, etc. Do not use credit cards

21:	For your primary residence, do you:
	Own? Rent?

22:	Which of the following do you plan to do within the next 1-6 or 7-12 months?
		1-6 Months	7-12 Months
	Get Married
	Have a Baby
	Buy a House
	Remodel a Home
	Move to a New Residence
	Buy a Personal Computer
	Buy/Lease a New Vehicle
	Buy/Lease a Used Vehicle

23:	Please check all that apply to your household.
	Shop by Catalog/Mail Member of Frequent Flyer Program Donate to Charitable Causes Own a Compact Disc Player Have a Dog Have a Cat Own a Cellular Phone Subscribe to an Online/Internet Service Own an IBM or Compatible Computer Own an Apple/Macintosh Computer Own a CD-ROM

24:	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. Gardening 02. Hunting/Shooting 03. Bible/Devotional Reading 04. Travel in USA 05. Cruise Ship Vacations 06. Photography 07. Avid Book Reading 08. Foreign Travel 09. Home Workshop/Do-It-Yourself 10. Our Nation’s Heritage 11. Golf 12. Wildlife/Environmental Issues 13. Fishing 14. Physical Fitness/Exercise 15. Entering Sweepstakes 16. Casino Gambling 17. Dieting/Weight Control 18. Wines 19. Gourmet Cooking/Fine Foods 20. Bicycling 21. Health/Natural Foods 22. Self-Improvement 23. Stocks/Bonds/Mutual Funds 24. Watching Sports on TV

25:	Using the numbers in the above list, please indicate your 3 most important activities:

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