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Sweepstakes
Enter to Win $2,500
Featured Offers
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Survey
A Few Questions
Please take a couple of minutes to fill out this survey in order to help us improve our services to you.
How did you find out about the WelcomeHomeowner web site?:
-- Please Select One --
Received the WelcomeHome envelope
From a search engine
Referred by a friend
If you received the WelcomeHome envelope, how helpful was the information enclosed?
-- Please Select One --
Very Helpful
Helpful
Somewhat Helpful
Not Helpful
How do you rate the overall design and usefulness of the welcomehomeowner.com Web site?
-- Please Select One --
Excellent
Very Good
Good
Fair
Poor
Have you responded to any of the special vendor product and service offers in the envelope?
Yes
No
If you answered YES to Question 4, please let us know which offers you have responded to:
1800 Dentist
ADT
Banfield
DirecTV
DirecTV
Home Decorators
ProFlowers
RoomsToGo
USA Today
Vonage
Which additional offers on products and services would you find helpful for your new home?Please list (flooring, plumbing, soft furnishings, furniture, home theater, etc)
On average, what will the total spending on your new home be in the first six months?
-- Please Select One --
$1000 - $5000
$5000 - $10,000
$10,000 - $20,000
More than $20,000
Are you a first-time homeowner?
Yes
No
I would like to receive occasional information and special offers on products and services for my home and family
Yes
No
First Name:
Last Name:
Address:
City:
State:
-- Please Select One --
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip
Phone:
Mobile Phone:
Fax
Email:
Number of Children:
None
1
2
3
4
5
Gender:
Male
Female
Date of Birth:
What is your highest level of education?
-- Please Select One --
High School
Some College
College Graduate
Post Graduate Degree
What is your approximate household income?
-- Please Select One --
Under $50,000
$50,000 - $74,000
$75,000 - $99,000
$100,000 - $149,000
Over $150,000