Give or send this form to prospects within your market to find out more about their income, buying habits, etc. This type of information can help you tailor your marketing and advertising efforts.
This customer survey will help <business name> learn more about you and develop better ways to satisfy your needs. Please fill it out completely, and return it in the enclosed envelope. Thank you.
Your Name:________________________________________
Your Address:______________________________________
Your Phone Number: (day) ______________ (evening) _______________
Number of people in your household: _________
Their ages: _________________
Your total household annual income (before taxation): $________________
Number of people in your household with a college education: ___________
Do you own <product of interest>? ___________
If yes, how many do you own? ___________
Amount of money you spend on <area of spending> per month: $_________
Would you be interested in receiving information about new products from <business name>?
Yes___ No___
Thank you for your time.
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