Personal Information
*First Name:
*Last Name:
*Address 1:
Address 2:
*Town/City:
*State:
*Post Code:
*Phone:
Home
Work
Cell
Email:
Product Information
*Bed Purchased:
*Bed Size:
[Select Size...]
Double
King
King Single
Other
Queen
Single
Single Long
*Purchase Location:
*Purchase Date:
Price Paid:
Mattress Only
Mattress & Base
Ensemble Base:
*Law Tag #:
Help?
* marked fields are required
Survey Questionnaires
1.
Purchaser's Age Range (please select one)
[Select...]
18-29 Years
30-39 Years
40-49 Years
50-59 Years
60-69 Years
70-79 Years
80 Years or Older
2.
Please indicate the age range of the primary user of this bed.
[Select...]
Less than 18 Months
18 Months to 3 Years
4-8 Years
9-12 Years
13-17 Years
18-29 Years
30-39 Years
40-49 Years
50-59 Years
60-69 Years
70-79 Years
80 Years or Older
3.
Which group describe your annual family income?
[Select...]
Under $15,000
$15,000 to $19,999
$20,000 to $29,999
$30,000 to $39,999
$40,000 to $49,999
$50,000 to $59,999
$60,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $199,999
$200,000 to $249,999
Over $250,000
4.
How many stores did you visit or call before purchasing your bed?
[Select...]
Purchase from First Store
1 to 2 Stores
3 to 4 Stores
5 or More Stores
5.
From your initial time of interest, how long was it until you made your purchase?
[Select...]
Purchase the Same Day
1 to 2 Days
4 to 6 Days
1 Week
2 Weeks to a Month
2 to 5 Months
6 Months to a Year
More than 1 Year
6.
How did you hear about Kingsdown?
[Select...]
Friend or Relative
Research Online
Store Advertising
Newspaper or Magazine Article
Direct Mail
Past Purchase
Other
7.
On a ten point scale, where "10" means completely satisfied and "1" means not satisfied
at all how satisfied were you with the sales service you received?
1
2
3
4
5
6
7
8
9
10
8.
What were the deciding factors in your Kingsdown purchase? (select up to three)
Brand Reputation
Prior Brand Experience
Friend or Relative
Sales Presentation
Comfort
Appearance
Price
Warranty
Brand Advertising
Product Features
Other
9.
How many bedrooms do you have in your home?
1
2
3
4
5
6 or More
10.
In what type of setting will this bed be used?
[Select...]
Master Bedroom
Child's Bedroom
Guest Bedroom
Vacation Home
Other
11.
Please select the hobbies and interests that people in your household enjoy (select up
to five)
Cars
Do-It-Yourself
Photography
Books
Donating to Charity
Sports
Camping/Hiking
Fishing
Travel
Casino Gambling
Fitness/Exercise
Cruises
Cigars
Gardening
Vitamins/Natural foods
Collecting
Golf
Wines
Computers/Internet
Woodworking
Cooking/Recipes
Grandchildren
Crafts/Needlework
Home Decorating
Cultural Art/Events
Cycling
Investing
Dieting/Weight Control
Pets
12.
Level of education: (select highest level complete)
[Select...]
High School
College
University