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1.
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
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: 1.
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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 1.
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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
03.
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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
06.
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Friend’s recommendation
15.
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Salesperson recommendation
07.
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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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Arthritis Foundation
12.
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Lightweight
commendation
13.
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Low electrical use
02.
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Carpet to bare floors with no
14.
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Low profile head
adjustment (Micro-Sweep® )
15.
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Long motor life
03.
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Cord length
16.
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Non-marring bumper
04.
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Carpet Rug Institute approval 17.
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Pile lifting roller brush
05.
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Floor cleaning power
18.
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Sound level
06.
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Helping Hand® handle
19.
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Switch-in-handle
07.
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Hypo-Allergic/HEPA filtration 20.
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Two/adjusting motor speed
08.
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Easy bag change
21.
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Tune-ups
09.
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Edge cleaning brushes
22.
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Warranty
10.
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Large bag/dirt capacity
23.
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Other
11.
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Lights
11.
Where was this product purchased?
1.
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Mail Order/telephone
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Other website
2.
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Oreck store
6.
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Infomercial/TV
3.
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Other retail store
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Other
4.
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Oreck.com
12.
a.) If you purchased a replacement product, what brand is being replaced?
(check all that apply)
01.
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Oreck
11.
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Kirby
02.
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Bissell
12.
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Miele
03.
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Dirt Devil
13.
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Panasonic
04.
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Dyson
14.
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Rainbow
05.
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Electrolux
15.
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Regina
06.
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Eureka
16.
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Riccar/Simplicity
07.
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Euro Pro/Shark/Fantom
17.
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Sharp
08.
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General Electric
18.
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Westinghouse
09.
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Hoover
19.
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Robot vacuum (any brand)
10.
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Kenmore
20.
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Other
b.) If this is a replacement product, approximately how old was the product
you are replacing?
1.
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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
6.
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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
11.
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Kirby
02.
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Bissell
12.
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Miele
03.
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Dirt Devil
13.
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Panasonic
04.
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Dyson
14.
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Rainbow
05.
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Electrolux
15.
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Regina
06.
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Eureka
16.
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Riccar/Simplicity
07.
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Euro Pro/Shark/Fantom
17.
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Sharp
08.
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General Electric
18.
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Westinghouse
09.
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Hoover
19.
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Robot vacuum (any brand)
10.
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Kenmore
20.
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Other
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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9.
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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
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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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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1.
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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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4.
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Working from a Home Office?................
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5.
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In the Military? .......................................
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6.
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A Veteran? ..............................................
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7.
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19.
Which group describes your annual family income?
01.
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Under $15,000
08.
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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
11.
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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)
1.
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Completed High School
2.
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Completed College
3.
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Completed Graduate School
(
)
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yrs.
yrs.
yrs.
yrs.
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