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Last name:
First name:
Address:
City:
State:
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Day Phone :
Evening Phone :
E-mail:
Where
Purchased:
Purchase
Date:
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Model No:
Serial No:
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Help us get to know you better

1. Where did you learn of this product?



2. How easy was this product to install?

Very Easy
Easy
Moderately Easy
Somewhat Difficult
Difficult
Installed by Contractor

3. Where will you be using this product?

Master Bath
Guest Bath
Family Bath

4. What three factors most influenced your decision to purchase this product?

Price Convenience Advertising Friend/Relative
Quality Warranty Product Features Product Safety
Style Impression Latest Technology Other


5. What is your occupation?




6. Which group describes your annual family income?

Under $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $124,999
$125,000 - $149,999
$150,000 - $174,999
$175,000 - $200,000
Above - $200,000


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