QuestionPro Survey

I purchased this model in:

I purchased this model at the following store:

I learned about this model from:

I decided to buy this model:

Before coming to the store

In the store

I decided to buy this model because of:

I like the following features:

I purchased this model:

As first set

As replacement set

As additional set

Other

If this purchase was not your first set, the previous one was used for:

Before I purchased this, I compared it with:

My family income is:

under $25,000

$25,000 - $40,000

$40,000 - $60,000

$60,000 - $80,000

$80,000 - $100,000

$100,000 and over

Sex

Male

Female

Marital Status

Married

Single

Other

Age

Occupation

Name:

Address

City

State, ZipCode

Email Address