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1.
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Mr. 2.
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Mrs. 3.
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Ms. 4.
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Miss
First Name
Initial
Last Name
Street
Apt. No.
City
State
ZIP Code
E-mail Address
IMPORTANT! IMPORTANT!
Please complete and return within the next 10 days! Or register online at www.oreck.com
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2.
Your date of birth:
Month
Year
3.
Marital status:
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Married 2.
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Single
4.
If you wish to receive Oreck offers or product updates via email,
please check here
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5.
Phone number:
6.
Date of purchase:
Month
Day
Year
7.
Model number:
8.
Serial number:
9.
What were the most important factors that influenced your purchase decision?
(check up to 3)
01.
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Advertising
10.
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Other free offer
02.
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Appearance/design
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Payment plan
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Customer service
12.
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Product features
04.
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Ease of operation
13.
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Quality/durability
05.
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Ease of service/maintenance
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Received as a gift
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Friend’s recommendation
15.
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Salesperson recommendation
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Gift for buying
16.
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Trust in Oreck®
08.
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Gift for trying
17.
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Value for price
09.
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Oreck Challenge®/
18.
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Warranty
Risk-free trial
19.
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Other
10.
What were the most important features that influenced your purchase
decision?
(check up to 3)
01.
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No filter replacement
09.
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Ionization option
necessary
10.
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Multi-speed motor
02.
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Easy to clean cell
11.
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Wall mount option
03.
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Sound level
12.
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Odor absorber
04.
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Ability to remove cigarette/
13.
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Wash cell indicator
cigar smoke
14.
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Low profile
05.
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Ability to reduce allergens
15.
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Adjustable louvers/exhaust
06.
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Ability to provide clean air
16.
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Allergy & Asthma Foundation
(general home health)
of America® Seal
07.
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Filtration efficiency
17.
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Other
08.
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Fragrance cartridge
11.
Where was this product purchased?
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Mail Order/telephone
5.
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Other website
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Oreck store
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Infomercial/TV
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Other retail store
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Other
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Oreck.com
12.
a.) If you purchased a replacement product, what brand is being replaced?
(check all that apply)
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Oreck
13.
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Honeywell
02.
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Bemis
14.
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Hunter
03.
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Bionaire
15.
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Kenmore
04.
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Blueair
16.
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Norelco (Philips)
05.
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Carrier
17.
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Panasonic
06.
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DeLonghi
18.
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Sharper Image
07.
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Duracraft
19.
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Slant/Fin
08.
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Enviracaire
20.
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Sunbeam
09.
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GE
21.
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Vornado
10.
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Hamilton Beach
22.
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Whirlpool
11.
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Healthway
23.
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Other
12.
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Holmes
b.) If this is a replacement product, approximately how old was the product
you are replacing?
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1-2 years
4.
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11-15 years
2.
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3-5 years
5.
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16-20 years
3.
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6-10 years
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Over 20 years
13.
When making this Oreck purchase, which other brands did you consider?
(check up to 3)
01.
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None, only Oreck
13.
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Honeywell
02.
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Bemis
14.
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Hunter
03.
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Bionaire
15.
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Kenmore
04.
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Blueair
16.
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Norelco (Philips)
05.
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Carrier
17.
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Panasonic
06.
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DeLonghi
18.
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Sharper Image
07.
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Duracraft
19.
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Slant/Fin
08.
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Enviracaire
20.
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Sunbeam
09.
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GE
21.
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Vornado
10.
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Hamilton Beach
22.
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Whirlpool
11.
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Healthway
23.
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Other
12.
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Holmes
14.
Do you or someone in your family have:
(check all that apply)
1.
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Allergies
4.
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Cleaning service
2.
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Asthma
5.
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Shag carpet
3.
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Arthritis/joint pain
6.
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Boat
15.
Other than the product just purchased, what other types of cleaners do you
currently own?
(check all that apply)
Other
Oreck
Brand
Full Size Upright .....................................
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1.
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Stick Vac.................................................
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2.
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Full Size Canister Vacuum ......................
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3.
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Mini Canister Vacuum ............................
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4.
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Wet/Dry Vacuum ....................................
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5.
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Handheld Vacuum ..................................
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6.
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Central Vacuum System .........................
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7.
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Floor Polisher .........................................
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8.
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Air Purifier ..............................................
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Carpet Shampooer/Extractor ..................
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10.
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16.
Not including yourself
, what is the GENDER and AGE (in years)
of children and other adults living in your household?
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No one else in household 2.
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Child under 1 year
Male Female
Age
Male Female
Age
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2.
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1.
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2.
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1.
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2.
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1.
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2.
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17.
Occupation:
(check all that apply)
You
Spouse
Professional/Technical ............................
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1.
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Upper Management/Executive ................
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2.
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Middle Management ...............................
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3.
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Sales/Marketing ......................................
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4.
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Clerical/Service Worker ..........................
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5.
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Tradesman/Machine Operator/Laborer ...
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6.
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18.
Are you or your spouse:
You
Spouse
A Homemaker?.......................................
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Retired? ..................................................
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2.
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A Student?..............................................
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3.
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Self Employed/Business Owner? ............
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Working from a Home Office?................
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In the Military? .......................................
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A Veteran? ..............................................
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19.
Which group describes your annual family income?
01.
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Under $15,000
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$75,000-$99,999
02.
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$15,000-$19,999
09.
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$100,000-$124,999
03.
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$20,000-$29,999
10.
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$125,000-$149,999
04.
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$30,000-$39,999
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$150,000-$174,999
05.
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$40,000-$49,999
12.
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$175,000-$199,999
06.
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$50,000-$59,999
13.
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$200,000-$249,999
07.
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$60,000-$74,999
14.
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$250,000 & over
20.
Level of education:
(check highest level completed)
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Completed High School
2.
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Completed College
3.
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Completed Graduate School
(
)
S N
yrs.
yrs.
yrs.
yrs.
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