IMPORTANT: MAIL WITHIN 14 DAYS OF PURCHASE
NAME:
ADDRESS:
COUNTY:
MODEL NO.
RETAILER NAME:
PHONE:
POSTCODE:
SERIAL NO. PURCHASE DATE:
RETAILER ADDRESS:
1) Primary user(s) of product:
❏ Male ❏ Female ❏ Family
2) Age of primary user:
❏ 0–24 ❏ 35–44 ❏ 55–64
❏ 25–34 ❏ 45–54 ❏ 65 and over
3) Annual household income:
❏ 0–9,999 ❏ 15,000–19,999
❏ 10,000–14,999 ❏ 20,000+
4) How many times a week do you exercise?
❏ Less than 3 times ❏ 3 times or more
5) Have you ever purchased an ICON product before?
❏ Yes ❏ No
6) Where did you first see or hear about ICON products?
❏ Magazine ❏ Friend/relative
❏ Newspaper Ad ❏ Store
❏ Other
7) What was the primary reason for purchasing this ICON product?
❏ Store Employee ❏ Television Ads ❏ Colour
❏ Electronic Features ❏ Magazine Ads ❏ Price
❏ Product Design ❏ Product Innovation
❏ Other Features
8) Did you consider purchasing fitness equipment from another
manufacturer?
❏ No ❏ Yes
What other Manufacturer?
9) Based on your impression of what you have purchased,
would you buy another ICON product?
❏ Yes ❏ No ❏ No Opinion
If not, what other brand name equipment would you purchase?
10) What other type of exercise equipment do you own?
❏ Bicycle ❏ Exercise Cycle ❏ Treadmill
❏ Home Gym ❏ Weight Bench ❏ Stepper
❏ Cardio Glide ❏ Other
11) Which type of magazines do you read regularly?
❏ Sports ❏ Fitness ❏ Motoring
❏ Business ❏ Computer ❏ General
12) Do you wish to be sent further bulletins about ICON products?
❏ Yes ❏ No
THANK YOU FOR YOUR TIME
of/du Canada Inc.
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