- Name & Address:
- Your date of birth:
- Marital Status:
Married
Single
- Date of purchase:
- Product name:
- UPC number:
- Name of store where purchased:
- Price paid (excluding
sales tax): $
.00
- What are the top three
(3) reasons influencing the purchase of your Travasak product?
- Which of the following
outdoor products and brands do you currently own?
(please do not include this purchase)
- Which of these products
do you plan to purchase in the next 12 months?
- Where do you plan to
shop/purchase any of the items listed above in question 11?
- Which of the following magazines do you read on a regular basis? (3 out of the last 4 issues)
- A) What outdoor activities
do you and your family frequently participate in together?
(3 or more times per month)
B) Who inspired you to participate in these
activities?
C) Do you participate in any of these additional
sport/recreation activities?
- 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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The data we collect is used in the aggregate to give us demographic information about the entire audience registering their products. We
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The personal information you provide - name, address, etc. - allows us to inform you of additional special offers which may be forthcoming,
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