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1.
1.0 Mr.
Rrst
Name
2.0 Mrs.
3.0 Ms.
4.0 Miss
Initial
Last name
Street
Apt
TBC01
City
StatelProvince
Zip/Postal code
E-mail address:
2.
Your date of birth:
/
Month
Year
4.
Date of purchase:
/
/
Month
Day
Year
3.
Marital status: 01. 0 Married
5.
Model number:
02.0 Single
6.
Name of store where purchased:
11.
What features/factors influence this purchase?
01 0
Ad - lV/Magazine/
07. 0
Overall design
Newspaper
08. 0
Price
02. 0 Application enhancement/ 09. 0
Remote control
Bongiovi technology
10. 0
Store display
03. 0
Brand reputation/
11. 0
Sound
Experience
12. 0
Wake/Sleep to iPod!
04. 0
Battery backup
iPhone
15.
05. 0
Charges iPod!iPhone
13. 0 Wake to radio/alarm
06. 0
Friends/Relatives
14. 0 Website
recommendation
15. 0
Other
9.
Which
of the
following best describes this purchase?
01. 0 The first product of this type you've owned
02. 0 Areplacement/upgrade of asimilar product
03. 0 An addition to asimilar product you already own
04. 0 Received as a gift
05. 0 Other
10.
Please indicate the gender and age of the person
who will be using this product most often:
8.
Price paid (excluding sales tax):
$
7.
Did you:
01. 0 Purchase this product yourself?
02. 0 Receive this product as a gift?
13.
What brands did you consider?
01. 0
Altec Lansing
08. 0
Philips
02. 0
Bose
09. 0
Sony
03. 0
HoMedicS/Sharper Image
10. 0
XtremeMac
04. 0 iLuv
11. 0 No other brands
05. 0 JBL
considered
06. 0
Logitech
12. 0 Other
07. 0 Memorex
14.
OccupationlEmployment status: (check all that apply)
You
Spouse
01. ProfessionallTechnical
0
0
02. Upper management/Executive
0
0
03. Middle management
0
0
04. Sales/Marketing
0
0
05. Clerical/Service worker
0
0
06 Tradesman/Machine op.lLaborer
0
0
07. Teacher/Educator
0
0
08. Healthcare-PhysicianiNurse/Other 0
0
09. Homemaker
0
0
10. Military
0
0
11. Retired
0
0
12. Self employed/Business owner
0
0
13. Work from home office
0
0
Which group describes your annual family income?
01. 0 Under $25,000
05. 0
$75,000-$99,999
02. 0
$25,000-$49,999
06. 0
$100,000-$149,999
04. 0
$50,000-$74,999
07. 0
$150,000 and over
. a a
02. 0
Female
03. Age:
01. 0 Male
12.
Where do you plan on using this product?
01. 0
Bedroom
05. 0
Kitchen
02. 0
Home office
06. 0
Work office
03. 0
Family Room/Den
07. 0
Dormitory
04 0
Home gym
08. 0
Other
16.
Do you own an iPhone? 01. 0
Yes
02. 0
No
17.
Do you own an iPad?
01. 0
Yes
02. 0
No
18.
How many applications have you downloaded?
01. 0 0-10
02.011-20
03.0 21-30
04.0 31+
- - _ . - - - - - - - - - - - -
iHome respects your privacy. All information will be kept confidential. We do not share personal information with any third party.
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