Avalon Product Registration Number
1.*
First Name
Initial
Last Name
Street
Apt. No.
City
State
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Date of InstallMonth
Phone Number
E-mail Address
Confirm E-mail Address
2.*
Have you ever purchased shutters before?
3.*
If yes, have you purchased Avalon Shutters before?
4.*
Overall, how satisfied are you with your recent Avalon Shutter purchase?
5.*
Would you refer someone to Avalon?
6.
How can Avalon improve their product or services?
7.
How many quotes did you get before deciding on buying Avalon Shutters?
8.*
How did you first hear about Avalon?
9.
Are you making an entire house purchase or room by room purchase?
10.
If purchasing room by room, when do you plan to do the next room?
11.*
Which of the following describes this purchase:
-
Please list
12.
Select the most important factors to your purchase decision (select all that apply).
13.
Which are the three most important factors to your purchase decision from the list above? (List corresponding letter)
14.
Approximately how old is your home?
15.
Which of the following describes your home:
16.
Which of the following describes your annual family income?
17.
Your date of birthMonth
18.
Marital Status
19.
To help us understand our customer's lifestyles, please indicate the interests and activities in which you or your significant other enjoy participating on a regular basis.
20.
Using the numbers in the above list, please indicate your most important activities.
