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Name ***
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City, State or Prov., Zip ***
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Date of Purchase ***
Product Purchased ***
Retail Purchase Price (excluding tax and delivery)
Where did you buy your grill
Hearth Specialty Shop Local Hardware Store LP Gas Supplier
Home Improvment Warehouse Major Chain Store Lawn & Garden Center
Deck Contractor / Builder Internet or Mail Order    
Retailer Name and Address
How would you rank your grill against other grills
Great! Good Same Fair Poor
How did you first hear about your grill?
Magazine Type
Sports Food Financial Men's Women's
Newspaper Ad
Local Dealer Importer Distributor    
Demonstration
Home Show Fair Expo Retail Store  
Recommendation
Friend Neighbor Relative    
Internet (What search engine?)
What Kind of BBQ grill did you replace?
Charcoal Gas Electric    
How old was your previous grill?
How often do you cook outdoors?
All Year 9 months 6 months 3 months  
Tell us something about yourself?
What age group best describes you
65 & over 55-64 45-54 35-44 under 35
How many adults in your household
4 or more 3 adults couple single  
What best describes your household income
+$25K +$40K +$60K +$80K $100K up
Highest level of education attained
College grad College H.S. Grad Some H.S.  
Principal Occupation
Professional Technical Management Self-employed Retired
Military Other      
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