Title:
--
Select --
Mr.
Mrs.
Miss.
First
Name:
Middle
Initial:
Last
Name:
Address:
City:
State:
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Code:
E-Mail:
Home
Phone:
Name
/ Model # of Product:
Date
of Purchase:
Purchased
At:
Was
This Product:
--
Select --
Purchased
For Own Use
Received
As A Gift
What
factors most influenced your decision to
purchase this product?
--
Select --
Brand
Reputation
Store Display
Advertising
Friend/Relative
Price
Demo/Special
Event
Value
Own
Other Bounty Hunter Products
Made In USA
Style/Appearance
Quality/Durability
Product
Features
Warranty
Other
Your
Primary Treasure Hunting Activity Is:
--
Select --
Coin Shooing
Relic Hunting
Gold
Prospecting
Other
On
average, how many days per year do you treasure
hunt?
Your
Date of Birth:
Marital
Status:
--
Select --
Married
Single
Divorced
Widowed
Not
including yourself, what is the gender and
age of children and other adults living
in your household?
Your
Occupation:
--
Select --
Professional
/ Technical
Upper
Management / Executive
Middle
Management
Sales
/ Marketing
Clerical
/ Service Worker
Tradesman
/ Machine Oper / Laborer
Your
Spouse's Occupation:
--
Select --
Professional
/ Technical
Upper
Management / Executive
Middle
Management
Sales
/ Marketing
Clerical
/ Service Worker
Tradesman
/ Machine Oper / Laborer
Are
you:
--
Select --
A Homemaker
Retired
A Student
Self
Employed / Business Owner
Working
From A Home Office
In The
Military
A Federal
Employee
Is
your spouse:
--
Select --
A Homemaker
Retired
A Student
Self
Employed / Business Owner
Working
From A Home Office
In The
Military
A Federal
Employee
What's
Your Household Income?
--
Select --
Under $15,000
$15,000
- $19,999
$20,000
- $29,999
$30,000
- $39,999
$40,000
- $49,999
$50,000
- $59,999
$60,000
- $74,999
$75,000
- $99,999
$100,000
- $124,999
$125,000
- $149,999
$150,000
- $174,999
$175,000
- $199,999
$200,000
- $249,999
Over $250,000
Your
Level of Education:
--
Select --
Some
High School
High
School Graduate
Some College
College
Graduate
Your
Primary Residence Is:
--
Select --
Owned
Rented
Do
You Camp?
On
average, how many days per year do you camp?
What
camping gear do you own?
--
Select --
Tent
Motorhome
Motor Boat
Van
Camper
/ Trailer
How
many metal detectors do you own?
To
help us understand our customer's lifestyles,
please indicate the interests and activities
in which you or your spouse enjoy participating
in on a regular basis.
From
the list above, please pick your three favorite
activities:
