Today's Date
Last
Name
First
Name
Email Address
Address
Suite or Apt. #
City
State
Purchase
Date
Purchase
Price
Purchased
From (Name of Store)
Gen/Tran
Model Number
Amount
Paid for Installation
Choose From List
$0 - $50
$51 - $100
$101 - $200
$201 - $300
$301 - $400
$401 - $500
$501 +
Who
Installed Your Gen/Tran Transfer Switch?
Choose From List
Myself
Friend
Relative
Electrical Contractor/Electrician
How
Did You Learn About Gen/Tran Transfer Switches?
Choose From List
Friend/Relative Recommendation
In-Store Display
Store Salesperson
Product Packaging
Electrical Contractor Recommendation
On The Web
Magazine/Newspaper Article
Gen/Tran Advertisement
What
Factor MOST Influenced Your Puchase Decision?
Choose From List
Received as a Gift
Price/Value
Gen/Tran Reputation
Recommendation by Friend/Relative
Recommendation by Saleserson
Style/Appearance/Design
Quality/Dependability
Saw Product in Use/Demo
In Stock
UL Listing
Price
Other
Where
is Your Electrical Panel Located?
Choose From List
Basement
Garage
Laundry Room
Outdoors
Interior Wall
What
Size is Your Generator in Continuous Watts?
Choose From List
2000 Watts or Less
2001 - 4500 Watts
4501 - 5500 Watts
5501 - 6500 Watts
6501 - 7500 Watts
7501 - 10,000 Watts
12,500 - 15,000 Watts
15,001 + Watts
What
Items Do You Intend To Power With This Transfer Switch
and Your Generator?
(Select
as many as you Like)
Date
of YOUR Birth
Including
Yourself, What is the Total Number of People Living In
Your Household?
Choose From List
1
2
3
4
5+
Your
Education
Choose From List
High School
Some College
College Graduate
Post Graduate School
Which
Best Describes Your Household Income?
Choose From List
Under $15,000
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 +
Comments:
