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  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.  
  2. Your date of birth:
    3.  
  3. Marital Status: Married Single
    4.  
  4. Date of purchase: 
    5.    
  5. Product Code 50803-
    (Product code can be found on the back of the box beneath the UPC bar code.)
    6.    
  6. Where was this product purchased?
    Received as a gift
    Toys R Us
    Wal-Mart
    Kmart
    JC Penney     		Costco
    Best Buy
    Target
    Internet
    Other
    7.  
  7. What was the approximate retail price that you paid for this product?
    $ .00     Don't know
    8.  
  8. Who will use the product most often?
    Male   Female
    9.  
  9. What is the age of the primary user?
     
    2 years
    3 years
    4 years
    5 years    		 6 years
    7 years
    8 years
    9 years
    10.    
  10. What factors most influenced your decision to purchase this product? (choose top three only)
    Received as a gift
    VTech brand name
    Product features
    Friend's/relative's recommendation
    TV or magazine advertisement
    "Try me" packaging or store
           display         		Product brochure or catalog
    Received from baby registry
    Requested by child
    On sale/good price
    Other
    11.    
  11. What product features most influenced your purchase?
    (choose top three only)
    Appearance/style
    Ease of use
    Portability
    Learning curriculum
    Number of activities
    Fun, entertaining games     		Durability
    Safety
    Sound quality
    Innovative technology
    PC connectivity
    12.    
  12. What other brands did you seriously consider before making this purchase?
    Received as a gift
    Leap Frog
    Mattel
    Playskool    		 Hasbro
    Fisher Price
    Did not consider any other brand
    Other
    13.    
  13. Not including the product just purchased, how many Vtech products
    do you own?
    None
    1-2
    3-4
    5 or more
    14.  
  14. 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):
    15.  
  15. Occupation: (check all that apply)
     
      You Spouse
    Professional/Technical
    Upper Management/Executive
    Middle Management
    Sales/Marketing
    Clerical/Service Worker
    Tradesman/Machine Operator/Laborer
    16.  
  16. 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?
    17.  
  17. 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
    18.  
  18. Level of education: (select highest level completed)
     
    Completed High School
    Completed College
    Completed Graduate School
    19.  
  19. Which credit cards do you use regularly?
     
    American Express, Diners Club
    MasterCard, Visa, Discover     		Department Store, Oil
          Company, etc.
    Do not use credit cards
    20.  
  20. For your primary residence, do you:
     
    Own? Rent?
    21.  
  21. Please tell us how many magazines your household:
     
      A.
    Subscribes to    		 B. Purchases at
    Stores/Newsstands
    1-3 per month
    4+ per month
    22.  
  22. 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
    23.  
  23. 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
    24.  
  24. 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
    25.  
  25. Using the numbers in the above list, please indicate your 3 most important activities:
     
           
    26.  
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