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  1. Name & Address:  
     
    * Title Mr./M./Sr.    Mrs./Mme./Sra.    Ms.    Miss/Mlle./Srita.
    * First Name/
    Prénom/Nombre
    Initial * Last Name/
    Nom de famille/Apellido
           
    * Street/Rue/Calle Apt. No./
    App./No de Apto
    * City/Ville/Ciudad
    * State/Province/Estado * Zip Code/
    Code postal/Código postal
    * E-mail Address/Adresse électronique/Dirección electrónica:
  2.  
  3. Your date of birth:
  4.  
  5. Marital Status: Married Single
  6.  
  7. Date of purchase: 
  8.  
  9. Where did you purchase your SportDOG product:
  10.  
  11. Product purchased:
     
  12. What is the age (in years) of the dog for which you purchased this product?
    0-1
    2-3
    4-5
    6-9
    10+
  13.  
  14. From what type of store was this product purchased?
    Sporting goods retail store
    Sporting goods internet
    Sporting goods catalog
    Pet store retail
    Pet internet
    Pet catalog
    Farm/Ag retail store
    Farm/Ag internet
    Farm/Ag catalog
    Discount/Mass merchant
    Other
  15.  
  16. Which of the following outdoor activities do you participate in? (check all that apply)  
    Waterfowl hunting
    Upland bird hunting
    Coon hunting
    Bear hunting
    Mountain lion hunting
    Deer hunting
    Elk hunting
    Turkey hunting
    Bass fishing
    Pan fishing
    Saltwater fishing
    Camping
    Hiking
    Boating
    Other
  17.  
  18. Which of the following television programming do you enjoy? (check all that apply)  
    NASCAR
    Rodeo
    Bass Fishing
    Benelli's American Bird Hunter
    Super Retriever Series
    Ducks Unlimited TV
    Waterdog
    Benelli's Dream Hunts
    Ruger's Hunting Adventures
    North American Hunter
    Cabela's Outfitter Journal
    World of Beretta
    Flyway Highway
    Pheasants Forever TV
    Beretta's Bird Hunters Journal
    Other
  19.  
  20. How did you first hear about SportDOG?
    Friend or neighbor
    TV ad
    Magazine ad
    Conservation banquet
    Hunt test or field trial
    Internet search engine
    Retail store shelf
    Retail website
    Retail catalog
    Other
  21.  
  22. Which of the following items do you own or have interest in owning? (check all that apply)
     
      Own Interest in Owning
    Electronic remote training system
    Electronic no-bark collar
    Electronic in-ground fence
    Electronic beeper/locator
    Electronic radio-tracking system
    Electronic bird launcher (box style)
    Electronic dummy launcher (winger)
    Manual bird launcher
    Manual dummy launcher
    Stiff training lead
    (Wonder lead or EZ lead style)
    Long leash - 12ft. long or more
    Whistle
    Game scents
    Dog boots
    Dog vest
    Metal dog truck box
    Plastic crate
    Collapsible crate
    Outdoor dog house
    Dog door
    Dog bed
    Heated water bowl
    Automatic feeder
    Metal food bowl
    Plastic food bowl
    Metal water bowl
    Plastic water bowl
    Dog first aid kit
    Dummies or bumpers
    Training videos or DVDs
    Training books
    Choke collar
  23.  
  24. 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):
  25.  
  26. Occupation: (check all that apply)
     
      You Spouse
    Professional/Technical
    Upper Management/Executive
    Middle Management
    Sales/Marketing
    Clerical/Service Worker
    Tradesman/Machine Operator/Laborer
  27.  
  28. 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?
  29.  
  30. 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
  31.  
  32. Level of education: (select highest level completed)
     
    Completed High School
    Completed College
    Completed Graduate School
  33.  
  34. Which credit cards do you use regularly?
     
    American Express, Diners Club
    MasterCard, Visa, Discover
    Department Store, Oil Company, etc.
    Do not use credit cards
  35.  
  36. For your primary residence, do you:
     
    Own? Rent?
  37.  
  38. Please tell us how many magazines your household:
     
      A.
    Subscribes to
    B. Purchases at
    Stores/Newsstands
    1-3 per month
    4+ per month
  39.  
  40. Which of the following do you plan to do within the next 6 or 12 months?
     
      1-6 Months 7-12 Months
    Buy/Lease a New Vehicle
    Buy/Lease a Used Vehicle
  41.  
  42. 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
    Home Workshop/Do-It-Yourself
  43.  
  44. 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.

     
    Home Life
    01. Grandchildren
    02. Needlework/Knitting
    03. Sewing
    04. Flower Gardening
    05. Vegetable Gardening
    06. Crafts
    07. Automotive Work
    08. Photography
    09. Home Video Recording

    Good Life
    10. Cultural/Arts Events
    11. Fashion Clothing
    12. Foreign Travel
    13. Cruise Ship Vacations
    14. Travel in USA
    15. Gourmet Cooking/Fine Foods
    16. Wines
    17. Self-Improvement
    18. Watching Sports on TV
    19. NASCAR

    Investing & Money
    20. Real Estate Investments
    21. Stocks/Bond Investments
    22. Contests/Sweepstakes
    23. Casino Gambling
    24. Moneymaking Opportunities

    Sports, Fitness & Health
    25. Bicycling
    26. Golf
    27. Physical Fitness/Exercise
    28. Running/Jogging
    29. Snow Skiing
    30. Tennis
    31. Health/Natural Foods
    32. Dieting/Weight Control
    33. Walking for Health

    Great Outdoors
    34. Camping/Hiking
    35. Fishing
    36. Hunting/Shooting
    37. Powerboating
    38. Sailing
    39. Recreation Vehicles (RVs)
    40. Wildlife/Environmental Issues

    Hobbies & Interests
    41. Buy Prerecorded Videos/DVDs
    42. Listen to Records/Tapes/CDs
    43. Avid Book Reading
    44. Bible/Devotional Reading
    45. Art/Antiques Collecting
    46. Stamp/Coin Collecting
    47. Collectibles
    48. Our Nation’s Heritage
    49. Electronics
    50. Science Fiction
    51. Science/New Technology

  45.  
  46. Using the numbers in the above list, please indicate your 3 most important activities:
     
           
  47.  
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