KELTY KIDS banner
  1. Name & Address:  
     
    * Title Mr.    Mrs.    Ms.    Miss
    * First Name Initial * Last Name
           
    * Street Apt. No. * City
    * State/Province * Zip/Postal Code
    * E-mail Address
  2.  
  3. Your date of birth:
  4.  
  5. Marital Status: Married Single
  6.  
  7. Product Name:
  8.  
  9. Please enter either the model number of your product:  
      Or the serial number:
  10.  
  11. Name of store where purchased:
  12.  
  13. Date of purchase: 
  14.  
  15. What are the most important factors influencing the purchase of your boat?
    (check up to three)
     
    Style/Appearance/Design
    Color
    Quality
    Size and Weight
    Ease of Use
    Brand Reputation
    On Sale/Sale Price
    Recommended by Friend
    Recommended by Salesperson
    Recommendation of Instructor/Product
           Expert
    Store Display
    Special Features of Product
    Warranty
    Have Previously Owned/Rented This Brand's
           Products Before Buying

    Value for Price
    Saw Product in Use/Demonstration
    Catalog
    Magazine/TV Advertisement
    Internet/Website
    Received as a Gift
  16.  
  17. Which of the following products do you currently own or do you plan to buy in the next 12 months? (check all that apply)
     
      Own Buy
    Backpack
    Daypack
    Family Tent
    Backpack Tent
    Scuba Equipment
    Snorkel Equipment
    Battery Charger
    Deep Cycle Battery
    Travel Pack
    Kayak
    Canoe
    Electric Fishing/Trolling Motor
    Compass
    Sleeping Bag
    Sailboat
    Deck/Pontoon Boat
    Small Boat (Under 12 ft.)
    Large Fishing/Power Boat (Over 12 ft.)
    Personal Watercraft
    Water Trampoline
  18.  
  19. Which best describes the type of store where you purchased this product?
     
    Specialty Outdoor Store
    Outdoor Retail Chain Store
    Sporting Goods Retail Chain Store
    Marine Store
    Specialty Paddle Sport Store
    General Merchandise/Discount Store
    Internet
    Catalog
    Marine Boat Dealer
    Sailboat Dealer
    Farm Supply Store
    Warehouse Club
    Other
  20.  
  21. What other brands did you consider before making this purchase?
     
    Did Not Consider Any Other Brands
    Alumna Craft
    AquaToy
    Aviva
    Bass Hound
    Bell
    Carlisle
    Cobra
    Coleman
    Current Designs
    Dagger
    Dimension
    Duffy
    ELCO
    Escape
    ExtraSport
    Future Beach
    Grumman
    Hobie
    KL
    Liquid Logic
    Mad River
    Necky
    Northeast Outfitter
    Ocean Kayak
    Old Town
    Pelican
    Perception
    Polaris
    Prijon
    Rave
    Rogue River
    Sawyer
    SeaDoo
    WaterQuest
    Water Wheeler
    Wenonah
    Wilderness Systems
    Yamaha
    Other
  22.  
  23. Do you own waterfront property?
     
    Yes, as a primary residence
    Yes, as a secondary residence or vacation residence
    No
  24.  
  25. Where do you intend to use this product? (select one)
     
    Inland Lake (gas restricted)
    Inland Lake (non-restricted)
    Man-made Neighborhood Lake or Pond
    Ocean Bay or Other Saltwater
    River or Stream
  26. Check here to receive Johnson Outdoors Watercraft Sports Leisure Group catalogs
  27.  
  28. Which of the following sports/recreation/fitness activities do you participate in? (Check all that apply)
     
    Cross-country/Nordic Skiing
    Snowboarding
    Telemark Skiing
    Snowshoeing
    Backpacking/Hiking
    Climbing
    In-Line Skating
    Rafting
    Kayaking/Canoeing
    Scuba Diving
    Water Skiing/Wake Boarding
    Bowling
    Attend Sporting Events
    Video/Computer Games
    Workout in Gym
    Martial Arts
    Swimming
    Team Sports
    Personal Watercraft
    ATV
    Motorcycling
    Snowmobiling
  29.  
  30. Not including yourself, what is the GENDER and AGE (in years) of children
    and other adults living in your household?

     
    No one else in household Child under 1 year
    1. Male Female Age (in yrs):
    2. Male Female Age (in yrs):
    3. Male Female Age (in yrs):
    4. Male Female Age (in yrs):
  31.  
  32. Occupation: (check all that apply)
     
      You Spouse
    Professional/Technical
    Upper Management/Executive
    Middle Management
    Sales/Marketing
    Clerical/Service Worker
    Tradesman/Machine Operator/Laborer
  33.  
  34. Are you or your spouse:  
     
      You Spouse
    A Homemaker?
    Retired?
    A Student?
    Self Employed/Business Owner?
    Working from a Home Office?
    In the Military?
    A Veteran?
  35.  
  36. Which group describes your annual family income?
     
    Under $15,000
    $15,000-$19,999
    $20,000-$29,999
    $30,000-$39,999
    $40,000-$49,999
    $50,000-$59,999
    $60,000-$74,999
    $75,000-$99,999
    $100,000-$124,999
    $125,000-$149,999
    $150,000-$174,999
    $175,000-$199,999
    $200,000-$249,999
    $250,000 & over
  37.  
  38. Level of education: (select highest level completed)
     
    Completed High School
    Completed College
    Completed Graduate School
  39.  
  40. Which credit cards do you use regularly?
     
    American Express, Diners Club
    MasterCard, Visa, Discover
    Department Store, Oil Company, etc.
    Do not use credit cards
  41.  
  42. For your primary residence, do you:
     
    Own? Rent?
  43.  
  44. How recently did you move into your current residence?
     
    Within 30 days
    Within 1-3 months
    Within 4-6 months
    7 to 12 months ago
    Have not moved in the last 12 months
  45.  
  46. Which of the following do you plan to do within the next 1-6 or 7-12 months?
    (select all that apply)
     
      1-6 Months 7-12 Months
    Buy/Lease a New Vehicle
    Buy/Lease a Used Vehicle
  47.  
  48. Please check all that apply to your household.
     
    Shop by Catalog/Mail
    Shop via the Internet
    Member of Frequent Flyer Program
    Donate to Charitable Causes
    Own a Compact Disc Player
    Have a Dog
    Have a Cat
    Own a Wireless/Cellular Phone
    Speak Spanish
    Own an Apple/Macintosh Computer
    Own a CD-ROM Drive
  49.  
  50. To help us understand our customers' lifestyles, please indicate the interests
    and activities in which you or your spouse enjoy participating on a regular basis.

     
    01. Bicycling
    02. Golf
    03. Physical Fitness/Exercise
    04. Running/Jogging
    05. Snow Skiing
    06. Tennis
    07. Camping/Hiking
    08. Fishing
    09. Hunting/Shooting
    10. Powerboating
    11. Sailing
    12. Grandchildren
    13. Needlework/Knitting
    14. Sewing
    15. Flower Gardening
    16. Vegetable Gardening
    17. Crafts
    18. Buy Prerecorded Videos
    19. Automotive Work
    20. Electronics
    21. Home Workshop/Do-It-Yourself
    22. Recreation Vehicles (RVs)
    23. Listen to Records/Tapes/CDs
    24. Avid Book Reading
    25. Bible/Devotional Reading
    26. Health/Natural Foods
    27. Photography
    28. Cultural/Arts Events
    29. Fashion Clothing
    30. Art/Antique Collecting
    31. Foreign Travel
    32. Cruise Ship Vacations
    33. Travel in USA
    34. Gourmet Cooking/Fine Foods
    35. Wines
    36. Stamp/Coin Collecting
    37. Collectibles
    38. Our Nation’s Heritage
    39. Real Estate Investments
    40. Stocks/Bond Investments
    41. Contests/Sweepstakes
    42. Casino Gambling
    43. Science Fiction
    44. Wildlife/Environmental Issues
    45. Dieting/Weight Control
    46. Science/New Technology
    47. Self-Improvement
    48. Walking for Health
    49. Watching Sports on TV
    50. Home Video Recording
    51. Moneymaking Opportunities
  51.  
  52. Using the numbers in the above list, please indicate your 3 most important activities:
     
           




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