| 1. |
This was purchased by: |
Male Female Joint Purchase |
| 2. |
Age: |
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| 3. |
Marital status: |
Married Single Divorced/Widowed |
| 4. |
Do you own or rent your home? |
Own Rent |
| 5. |
Give the number of children living at home by age category: |
under 13 13 & over |
| 6. |
Annual combined family income? |
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| 7. |
Have you purchased ready-to-assemble furniture before? |
Yes No Unsure |
| 8. |
Have you purchased Founders & Vignettes products before? |
Yes No Unsure |
| 9. |
What was the most important reason influencing your purchase of this product? |
If Other: |
| 10. |
On a scale from 1 to 5 (5:excellent, 4:very good, 3:good, 2:fair, 1:poor) please rate the following: |
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| 11. |
For what room did you purchase this furniture? |
If Other: |
| 12. |
What other ready-to-assemble brand did you consider buying? |
If Other:
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| 13. |
Would you be interested in receiving correspondence from our company including product information? |
Yes No |
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If yes, what means of communication do you prefer? |
Regular Mail Email (enter below) |
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(Example: yourname@yourhost.com) |