IMPORTANT! Please complete and return within the next 10 days!
Please feel free to ignore any questions that you would prefer not to answer.
1. I. 0
Mr.
2. E Mrs. 3. _. Ms.
4. 0 Miss
D8NOl-01
First Name
Initial Last Name
2.
Telephone number:
( 1
Date 01 purchase:
I /
5.
Serial number:
GR-DVM55U
07694212
6.
Name 01 store where purchased:
7.
Price paid (excluding sales tax):
$ .oo
6.
9.
10.
Did you:
1. J Purchase this product yourself?
2. L;
Receive this product as a gift?
Is this product:
1. 0 The first product of thus type you have ever owned?
2.
q
A replacement for a similar JVC product?
3. 0 A replacement for a similar product made by
another company?
4. 0 An addition to a similar product you are still using?
What factors most influenced your decision to purchase
this product? (check up to three)
1. D
JVC Brand Reputation
2. cl
Previous Experience with JVC Products
3. E
Prrce
4. 0
Specific Product Features
5. -1 Style/Appearance
6. n
Salesperson’s Recommendation
7. 0
Friend’slRelative’s Recommendation
a. u
Warranty Coverage
9. 0 Other
11.
12.
Your date of birth:
I
Marital status: 1. g Married
2. z Single
Street
Apt. No
City
State ZIP Code
13. Notincluding yourself, what is the GENDER and AGE
(in years) of children and other adults living in your household?
1. 0 No one else in household 2. 1 Child under 1 year
Male Female Age Male Female Age
1. I7 2. ;I yrs. 1. I 2. yrs.
14.
15.
16.
17.
I.2 2.-J yrs. 1. 7 2 1 yrs.
Which group describes your annual family income?
1. I Under$15,000 6. _. $50,000-$59,999
2. -1 $15,000.$19,999 7. ; $60,000-$74,999
3. Y $20,000-$29.999
a. 2 $75.000-$99,999
4. II $30,000-$39.999
9. 7 $100,000-$149,999
5. 1
$40,000-$49,999
10. C $150.000 & over
For your primary residence, do you:
1. 7 Own?
2. L. Rent?
II you have purchased a mobile audio product, please tell us
about the car or truck in which it was installed, otherwise,
please tell us about the newest car or truck in your household.
(Make: e.g. Ford, Nissan; Model: e.g. Taurus SHO, Maxima SE)
Make:
Model.
Year:
A. : Bought new
B. L Bought used
C I7 Lease Exprres: I
Please check all that apply to your household.
01. I? Listen to Records/
07. 1 Health/Natural Foods
Tapes/CDs
08. .! Stamp/Coin Collecting
02. d Foreign Travel
09. II Avid Book Readrng
03. C Hunting/Shooting
10. .- Bible/Devotronal
04. :X Stock/Bond Reading
investments
11 :-I Avid Magazine/
05. 0 Entering Sweepstakes
Perrodrcal Reading
06. c Wildlife/Environmental Issues
Thanks lor
takrng the t,me to fill out thrs quest,onnarre Your answers wrll be
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