™
o f / d u C a n a d a I n c .
IMPORTANT: MAIL WITHIN 14 DAYS OF PURCHASE
NAME:
ADDRESS:
COUNTY:
MODEL NO.
RETAILER NAME:
1) Primary user(s) of product:
❏
Male
2) Age of primary user:
❏
0–24
❏
25–34
3) Annual household income:
❏
0–9,999
❏
10,000–14,999
4) How many times a week do you exercise?
❏
Less than 3 times
5) Have you ever purchased an ICON product before?
❏
Yes
6) Where did you first see or hear about ICON products?
❏
Magazine
❏
Newspaper Ad
❏
Other
7) What was the primary reason for purchasing this ICON product?
❏
Store Employee
❏
Electronic Features
❏
Product Design
❏
Other Features
Part No. 155084 J00829-C R0699A
®
PHONE:
SERIAL NO.
RETAILER ADDRESS:
❏
❏
Female
Family
❏
❏
35–44
55–64
❏
❏
45–54
65 and over
❏
15,000–19,999
❏
20,000+
❏
3 times or more
❏
No
❏
Friend/relative
❏
Store
❏
❏
Television Ads
Colour
❏
❏
Magazine Ads
Price
❏
Product Innovation
PRODUCT WARRANTY REGISTRATION
POSTCODE:
PURCHASE DATE:
8) Did you consider purchasing fitness equipment from another
manufacturer?
❏
❏
No
What other Manufacturer?
9) Based on your impression of what you have purchased,
would you buy another ICON product?
❏
❏
Yes
If not, what other brand name equipment would you purchase?
10) What other type of exercise equipment do you own?
❏
❏
Bicycle
❏
❏
Home Gym
❏
❏
Cardio Glide
11) Which type of magazines do you read regularly?
❏
❏
Sports
❏
❏
Business
12) Do you wish to be sent further bulletins about ICON products?
❏
❏
Yes
© 1999 ICON of Canada, Inc. Printed in Canada
Printed in Canada © 1999 ICON Health & Fitness, Inc.
18
Yes
❏
No
No Opinion
❏
Exercise Cycle
Treadmill
❏
Weight Bench
Stepper
Other
❏
Fitness
Motoring
❏
Computer
General
No
THANK YOU FOR YOUR TIME