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Initial:
State:
First name:
Last name:
Zip code:
Address: (number and street)
City:
Apt number:
Date of your birth:
Including yourself
, what is the total number of people
living in your household?
(Examples: 01, 02, 03, 04...)
Month Day Year
Date of birth (month/year) of the other adults and children in
your household:
Male Female
1. 2.
1. 2.
For your primary residence, do you:
1. Own 2. Rent
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17
20
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Month Year
Male Female
1. 2.
1. 2.
Date of purchase:
3
Education:
(Please check which category applies to you):
1. Some high school 3. College degree
2. Completed high school 4. Graduate degree
Your marital status: 1. Married 2. Single
Your gender: 1. Male 2. Female
Month Year
Month Year
Month Year
Month Day Year
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In the last six (6) months has anyone in your household
purchased any of the following items through the mail and/or
over the internet?
A. Mail B. Internet
1. Books/magazines
2. Children’s products
3. Clothes
4. Insurance/financial products
5. Music/video/DVD
6. Travel
7. Other
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Please fill-out and return this card within 10 days!
021 T
I use these credit cards:
1. American Express 4. Visa
2. Gas/Retail 5. Other_____________
3. Master Card 6. Do not have credit cards
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Purchase price: $ .00
PLEASE FOLD AND SEAL WITH TAPE BEFORE MAILING. DO NOT STAPLE.
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2
E-mail address: (EXAMPLE: yourname@yourhost.com)
1. Yes! I want to receive offers or communications from Sunbeam via e-mail.
2. Yes! I want to receive offers or communications that may interest me from other companies via e-mail. I understand this e-mail address
may be shared with and/or combined with information from other sources.
Thank you! We appreciate your responses to this questionnaire. The information you choose to share with us will be used by us and our marketing partners to offer you
product information and other communications that may interest you. If you prefer not to be contacted about these special offers, please check here
Product purchased:
1. Warming blanket 3. Warming throw
2. Warming mattress pad
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Style number:
5
Store where purchased:
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Please describe this purchase:
1. A first time purchase
2. A replacement to this brand
3. A replacement of another brand
4. An additional purchase
5. Received as a requested gift
6. Received as a surprise gift
8
What do you consider the most important factors influencing
your decision to purchase this warming product?
1. Color/style 7. Warranty
2. Replacement of existing 8. Auto-off feature
3. Value for price 9. Large number of heat settings
4. Friend/relative’s 10. Energy savings
recommendation 11. Cold weather
5. Advertising 12. Gift for someone else
6. Brand name I trust 13. Other_______________
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How often do you turn on/plan on turning on your warming product
(using its heating capacity)? (Check all that apply)
B. Once C. Once
A. Everyday a week a month
1. In the winter
2. In the fall
3. In the spring
4. In the summer
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What is the approximate temperature your home thermostat is set
to through out the night during winter?
1. Under 55 4. 66-70
2. 56-60 5. 71-75
3. 61-65 6. Over 75
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How often do you purchase this type of product?
1. Received as a gift 4. Every 4-5 years
2. First time purchase 5. Every 6-9 years
3. Every 1-3 years 6. Every 10+ years
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Which of the following products do you have or plan to own?
1. Warming blanket 3. Electric throw
2. Warming mattress pad
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We appreciate your responses to this questionnaire and the information you provide will be used by us and our
marketing partners to offer you product information and other communication that may interest you.
This information in no way will have an effect on your warranty terms.
How did you first learn about this product?
1. Inside the store 3. News story-public relations
2. Advertisement 4. Trusted brand
9
Someone in my home participates in the following activities:
(Check all that apply)
1. Crafts 10. Outdoor activities
2. Cultural arts/events 11. Own a pet
3. Do-it-yourself 12. Personal computing
4. Enter sweepstakes/contests 13. Read books
5.