SmartDNNModule First Name:(required) Last Name:(required) Email:(required) Address: City: State: Zip Code: Telephone: Occupation: Age: -please make a selection- 20-29 30-39 40-49 50-59 60 and over Marital Status: MarriedSingleDivorced/Widowed Gender: MaleFemale Residence: HouseCondominiumOther Do You: OwnRent Children: Give the number of children at home by age category Family Income: -please make a selection- Under 24,000 25,000-40,000 40,000-59,000 59,000-70,000 70,000-95,000 Over 95,000 The following is a list of six purchases motivators that unfluence a purchaser of home furnishings. Please rank each in order of importance to you in the purchase of this product with "1" being the most important and "6" being the least important. Prestige of manufacturer or the product made by them Prestige of retailer from whom you bought the product Design of the product styling,finish,engineering, etc. Quality of the product Service of the retailer Price of the product How did you become acquainted with aspenhome Furniture?: Advertising Company Signs,HangTags,Brochures/tearsheets, Product Information Retails Sales Person Friend/Relative the aspenhome Retail Experience Internet Other Would you be interested in receiving correspondence from aspenhome, including product information?: YesNo Information on your furniture purchase Item Numbers: *Please include item number in the above field if possible Purchased by?: MaleFemaleJoint Purchase Is this your first purchase from aspenhome?: Yes No Unsure Purchased from: Retailer Name: City: State: Date Purchased: (mm/dd/yy) Were you aware of apenhome before you made your recent furniture purchase from the company?: Yes No What were the most important features that prompted you to purchase this aspenhome product? What improvements could be made to this product? What was the main reason for this furniture purchase? -please make a selection- recent move remodeling/addition to home furniture replacement desire for new furniture second home marriage divorce other If you chose "other," please tell us what that reason is When was your last furniture purchase prior to this one? Within last 6 months Within last year Within last 2 years How likely are you to purchae additional products from aspenhome? Very likely Somewhat likely No opinion Somewhat unlikely Very unlikely How likely are you to recommend aspenhome to others? Very likely Somewhat likely No opinion Somewhat unlikely Very unlikely Did you find the aspenhome website useful in your furniture shopping process? Yes No Unsure What area of our website did you find most helpful or interesting? What improvements would you make to our website to make it more user-friendly and informative? Please note that your responses will be used for infromation and contact purposes only by aspenhome. No names will be sold to outside mailing companies.