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1.1.
M,
2.
Mrs
3.
Ms.
Miss
First Name
Initial
lasl Name
Streef
Api No
City
Slate
ZIP Cone
E-mail Address
2.
Your date 01 birth:
\1
.!"
3.
Marital status: 1
M.lliled
4.
Oale 01 purchase:
\'
,I,,,"
"I'dl
5
Model number:
6
Serial number"
"'.,
14.
What leatures
MOST
infllJenced thIs plHchase? il','1r:'tA 1/1' .',' )'
01
flU,III!,'
COIISI;
'IrIIOIl'
fiR
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03
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06
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15.
Where will this detector be used?
I,
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~ .lillf;a! app!:.1
1
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Cd'
01
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16, Not
mCfUC1lf1g
yourseu,
wnallS
We litNUt:H
anO
AGt:
(In
yearsl
of children and other adults living in your household?
1
Np orw
('I~('
w
11f)lJsehtll:1
Cl1llrj llllr!l'r 1
J',ll
M;tlp, Female
Agf'
Mttlp. Female
Age
00
g.
Name of store where purchased"
10.
Please record the
Gender and Age of the person who
will use this produc1 most often.
A 1
Malf'
I
~llldi2
You
Spouse
:1
\);..'
In
iJJ
(b
Ob
U,-
08
O:-l
10
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21.
What type of internet access do you use at home?
~IJ'If'
I
lIS!
20.
for your prunary residence. do
'iOU.
(.hm··J
ke·l!'J
22.
When new products Illftl have the lalr-st teclulOlogles i1PlJe(tr
on the market. do you or someone in your household:
li~IHllO
bli
-'iJC!1
l1t"lto" ,\
'O!ii, ,l"" Hlt'V dli ,I
!,ill"blt,··1
h!fll! 10 I".'lll I!lllil
lilt
1t"iI:
;1.1'-; ra'ell ,Huund lqr ,I
wlllip tll'!':'"
r'liyillU';
17.
Occupalion/Employment Stalus:
(en/·rA. af:
Ihlt ,lfJpl'll
proh.:<;~,ltl!l,li;lf'(
IHIH:,]l
Upper
M.t1I,tl)rIl1~1:I'E.x,q
IIIi\'r.
rl/1lr!(!lr M,lll,lyl;mct]l
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CII'lfC,II,St'IVfU'
W;lrke'
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R,-tul'rl
Selllll'llltIVt~lJ,(jLiSlIle:-. O~'Illt'1
Woej.,
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Homc DUlL'
18,
Which group describes your annuallamily iflcome?
01
Undc,S15 '
lno
11S3
S-:'5.000S9~yq<j
o:~
$13.0nO Slq 999
']9
;3'OOOOO-S~:·1
Y99
03
S?O
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499
1'J
S125 000-$1.19 499
0.1
$~10.000-S3q
999
1I
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i~
499
(J5
540000S4<;999
I··
5'i501l0S19QY94
or,
S50 1l01l-SO'! qQ9
I 1
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(),'
560 OOO·S;
I
q99
1
i
S/~O
OOU
.' < .,
('V,'I
19,
level of education, li'i','(~
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t
)'/lif'/,'ftJrt!
Cr;:lll'fdt
'll
i!!lJh <) 110:,;
I
11'1'1,.11'"
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35-44 y'
45-54
y'"
55-64,;,
Over 65
,'~:
Rad,1I
Odel.la!
Scallllcl
Vehicle St'l.unty
Power tr:'lcrlp.,
NOlie
Oi
08
09.
'Il
:110
\11~
11-18 yrs
19-;'.t
VI,>
25-34
vt>
B.
Whal olher Cobra products. it any. have you previously
owned? rCllt'CA
,Iff
(lUI .IflPI\ ,
n
1
Cordless
felpnllOnc
07
1lI1fioTALK
Rct{IIO(~1
t)3
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1)4
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OS
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r
1
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GPS
11. How d'd you FIRST become aware ot Ihis COBRA product'
ICf/{>('J.
tJnh' ,:
f)1
Rerelved ;1:_
,(;iI~
08
SlOre Displ,IV
t)?
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10
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i
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D!rect Mati
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12.
Whai iaclurs MOST iniiuenced this purchase?
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up
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1
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d
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Color
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13
Wall
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n~
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14
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08
Size
13.
To help us understand our customers' lifestyles, please indicate the interests and activities HI Which
yOIl
Of
your spouse
enjoy par1icipating on a
regular
basis
Horne Ufe
Travel
Great Outdoors
fll
Gr,llIULhlidll-1\
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&
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06
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