Warranty Demographics Template

Demographic, purchase and product information for warranty survey.



   
Occupation: (check all that apply)
You Spouse
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
 
   
 
Product Model: (on tag in product. Example: "LBI###")
   
 
   
 
Name of store where purchased:
   
 
   
 
What type of [Brand] product did you purchase?
 
Model 1
 
Model 2
 
Model 3
 
Model 4
 
Model 5
 
   
 
How would you describe this purchase? (check only one)
 
First time purchase
 
Addition to current [Brand] product(s) owned
 
Addition to product owned (other brand)
 
Replacement of [Brand] product owned
 
Replacement of product owned (other brand)
 
   
 
What other brands did you consider?
 
Brand 1
 
Brand 2
 
Brand 3
 
Brand 4
 
   
 
How do you plan to use this product?
 
For Work
 
For School
 
For the Outdoors
 
Other
    
 
   
 
Was this product...
 
received as gift?
 
a self-purchase?
 
   
 
How did you first learn about [Brand] products?
 
Friend/relative
 
Salesperson
 
Ads/promotions
 
Via the internet/website
 
In-store display
 
Other
    
 
   
 
Which of the following MOST influence you when purchasing [Brand] products?

 
In-store display
 
Previous experience with the brand
 
Price/Good value
 
Style/Appearance
 
Color/Design
 
Size/Capacity
 
Weight
 
Warranty
 
Comfortable
 
Quality construction/Durability
 
   
 
Your date of birth: (month and year)
   
 
   
 
Marital status:
 
Married
 
Single
 
   
 
Which group describes your annual family income?
 
Under $20,000
 
$20,000-$49,999
 
$50,000-$74,999
 
$75,000-$99,999
 
$100,000-$124,999
 
$125,000 & above
 
   
 
Level of education: (check the highest level completed)
 
Completed high school
 
Completed college
 
Completed graduate school
 
   
 
Name
   
Address
   
City
   
State
   
Zip
   
Email Address
   
 

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