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Please fill out this survey for a chance to win a $100, $75 or $50 Gift Certificate - three lucky winners drawn every month!
Please note: Our promise to you is that no information listed on this survey will be given to third parties or used outside of J&J Materials Corp. We will only use the information given to serve you better.
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| Fields marked with an asterisk * are required. |
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| *Name: |
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| *Address 1: |
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| Address 2: |
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| *City: |
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| *State: |
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| *Zip Code: |
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| *E-mail Address: |
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| *Phone Number: |
()- x |
| Fax Number: |
()- |
| *1. Have you ever seen any of our advertising? |
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| 2. Do you recall where you might have seen a J&J advertising message? (Check all that apply) |
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| 3. If you watch the news on TV: |
| What time? |
:00AMPM |
| Channel? |
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| *4. By which radio station can we best communicate with you? |
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| *5. By which newspaper or magazine can we best communicate with you? |
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| *6. Have you purchased anything from J&J before? |
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| *7. Have you ever visited a J&J location before? |
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If you answered yes to either questions #6 or #7, please tell us about your experience by answering questions 8-15. The ratings are as follows:
5 is Excellent, 3 is Average, 1 is Poor.
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| 8. Was our store clean, neat and attractive? |
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| 9. Were our displays helpful to you? |
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| 10. Was our staff courteous and quick to assist you? |
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| 11. Was our staff knowledgeable and helpful? |
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| 12. Was delivery on time and as you directed? |
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| 13. Was there a product or service we could not provide? |
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| 14. Would you recommend us to a friend? |
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| 15. Would you consider yourself a frequent customer? |
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| *16. Which products are you looking at today? |
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| *17. Are most of your projects do-it-yourself, or done by a contractor? |
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| Comments: |
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| Optional section: The following questions help us with our marketing research and are completely confidential. You do not have to fill out this section in order to enter the draw. |
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| What is your approximate age? |
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| What is your job / profession? |
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| What is your yearly household income? |
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| What are your hobbies and interests? |
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| What is your marital status? |
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| What is your household size (number of children)? |
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| What are your children's ages? |
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