{YOUR COMPANY}

Marketing Survey

1) Please tell us about yourself

Your First Name:
Your Last Name:
Position:
Company:
Location:
EMail:

Please put me on {YOUR COMPANY}'s email list for product updates.

Please do not distribute my name to email lists other than for {YOUR COMPANY}.


2) Please tell us about your use of {YOUR COMPANY's PRODUCT}

  • Where did you obtain your {YOUR PRODUCT}?

  • In which industry will you use {YOUR PRODUCT}? (Check all that apply)
    Defense
    Education
    Financial
    Advertising
    Hardware/Software Vendor
    Publishing
    Government
    Self-Employed
    Reseller/VAR
    Other (please specify):

3) Please tell us about your use of the World Wide Web

  • What browser do you usually use when working on the Web?

  • Is your primary Internet/Web connection:
    At work At home Other (please specify):

  • How much time per week do you spend on the Web?

  • The above time is spent (please check all that apply):
    Looking for information that pertains to your career
    Looking for information on commercial products/services
    Interacting with other people on the Internet (newsgroups, chat, etc)
    Researching academic topics
    Browsing for entertainment purposes

  • Have you ever purchased anything over the Internet/Web?
    Yes No

  • Do you worry about the security of monetary transactions over the Internet/Web?
    Yes No


Thank you for completing our marketing survey!

{HOMEPAGE}