7)
Side burner (if applies)
8)
Steamer/Fryer/Warmer (if applies)
9)
Side table design
10)
Color of the grill (not including stainless steel)
11) Warming
racks
12) Dependable
igniter
13)
Size of the grill (available cooking square inches)
14)
Integrated storage cabinet
15) Price
16)
Rotisserie (if applies)
17) Other
CONGRATULATIONS ON YOUR NEW COLEMAN
®
GRILL PURCHASE!
If you have any questions about your product, please call Coleman Customer Service at 1-800-356-3612.
For easier/faster warranty registration, please go to the warranty registration section of our Coleman Web site at
www.coleman.com.
Date of Your Birth:
12
Year
Day
Month
Store where purchased:
4
5
Product Model Number:
11
What other brands did you consider?:
E-mail Address:
7
Date of Purchase:
1. Regular Price
2. Sale Price
3. Don't Know
2
Year
Day
Month
Purchase Price: $
.00
(Excluding Tax)
3
1. Mr.
First Name:
Last Name:
Initial:
2. Mrs.
3. Ms.
4. Miss.
1
Address (Number and Street):
Apt #:
City:
Zip:
State:
Phone #:
The following questions are not required to obtain warranty service but will greatly assist us in
understanding your needs and building better performing products.
1. Own
2. Rent
For your primary residence, do you:
13
6
1. Yes, Please contact me.
2. No, Thanks
Can Coleman contact you with promotional information or updates about Coleman® products?
1. Single
2. Married
Marital Status:
15
Number of people in household:
16
Thank you for filling out this questionnaire. Your answers are important to us. Please check here [ ] if you prefer not to learn more about Coleman® Outdoor Cooking Products or
obtain information on new interesting opportunities from other companies.
1) High
school
diploma
2)
Some college
3) College
degree
4)
Some graduate school
5) Graduate
degree
14
Education: (Check only one.)
1) Under
$15,000
2)
$15,000 - $24,999
3) $25,000
-
$34,999
4)
$35,000 - $49,999
5) $50,000
-
$74,999
6)
$75,000 - $99,999
7)
$100,000 - $149,999
8)
Over $150,000
18
Which best describes your family income?
8
1)
Received as a gift 8) Magazine
2)
Brand 9) In Store Display/Sign
3)
Price 10) Packaging
4)
Style 11) Size
5)
Recommendation from Store Salesperson 12) Weight
6)
Recommendation from Friend 13) Ease of Use
7)
Television 14) Other Features
15) Other
Which factors most influenced your purchase?
(Please check all that apply.)
9
1)
Received as a gift
2)
First of this type of product owned
3)
Addition to Coleman products
4)
Replaced old Coleman product
5)
Replaced another brand product
6) Purchase in addition to another brand
Which of these best describes this purchase?
(Please check all that apply.)
1)
Tent Camping 10)
Barbequing
2)
RV Camping 11)
Rock Climbing
3)
Hiking/Backpacking 12)
Bicycling
4)
Fishing 13) Leisure
Walking
5)
Boating 14)
Canoeing
6)
Going to the Beach 15) Kayaking
7)
Tailgating 16)
Entertaining
8)
Picnicking 17)
Backyard Entertaining
9)
Hunting 18) Attend
Auto
Racing
Do you participate in any of the following activities?
(Please check all that apply.)
10
Number of kids in household under 18 years of age:
17
1)
Amount of BTU's for cooking
2) Cart
design
3)
Flame control cooking system
4) Power
burner
5)
Stainless steel material (if applies)
6)
Porcelain or stainless steel cooking grates
What grill feature influenced the purchase of your Coleman
®
grill? (Please check all that apply.)
19
22
