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INFORMATION ABOUT ME
Items in
red
indicate required fields
Name
(
First
/ MI /
Last
):
Address:
Apt #:
City/St/
Zip
:
Country:
Phone:
Email Address
:
(Example: yourname@yourhost.com)
Please check here
if you would prefer not to receive updates from Thomasville. We respect your
privacy
.
INFORMATION ABOUT MY PURCHASE
Date of Purchase (mm/dd/yyyy):
Zip Code Of Store:
|
CANADA
|
INTERNATIONAL
(required to fill Store Name list below)
Store Name:
Other
If above is 'Other', please fill in Store Name below:
Which Thomasville product(s) did you purchase? (Product number is located on copy of retailer order form.):
Product Number / Product Description
Product Number / Product Description
Total Purchase Price:
$
(ex. 123.00)
PLEASE COMPLETE THIS SHORT SURVEY
1.
What is your overall satisfaction with your Thomasville furniture?
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
2.
What is your overall quality with your Thomasville furniture?
1. Excellent
2. Very Good
3. Good
4. Fair
5. Poor
3.
How likely are you to purchase Thomasville furniture on your next purchase?
1. Definitely
2. Probably
3. May or may not
4. Definitely not
4.
Which of the following best describes this purchase of Thomasville furniture?
1. This is my first purchase
2. This is my second purchase
3. Purchased Thomasville three or more times
5.
What was the main reason for this purchase?
1. Recent move to primary residence
2. Remodeling/addition to primary residence
3. Decorating primary residence
4. Replacing existing furniture
5. Marriage
6. Divorce
7. Other
6.
When do you expect to make your next furniture purchase?
1. 1-3 Months
2. 3-6 Months
3. 6-12 Months
4. Over 12 Months
5. Not Applicable
7.
For what room do you expect to purchase your next piece of furniture?
1. Living room
2. Dining room
3. Adult bedroom
4. Youth bedroom
5. Family room
6. Other
8.
How did you become aware of Thomasville furniture?
1. TV Advertisement
2. Radio Advertisement
3. Newspaper advertisement
4. Magazine advertisement
5. Friend/Relative recommendation
6. Salesperson recommendation
7. Circular/Mailer from store
8. Product catalog/brochure
9. Other
9.
Your gender:
Male
Female
10.
Your marital status:
Married
Single
11.
Date of your birth (mm/dd/yyyy):
12.
Including yourself
, what is the
total
number of people living in your household?
13.
Which best describes your annual family income?
1. Under $15,000
2. $15,000 - $24,999
3. $25,000 - $34,999
4. 35,000 - $49,999
5. $50,000 - $74,999
6. $75,000 - $99,999
7. $100,000 - $124,999
8. $125,000 - $149,999
9. $150,000 - $174,999
10. $175,000 - $199,999
11. $200,000 - $249,999
12. $250,000 or over
Thank you for completing this questionnaire. Your answers are important to us.