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Shoppers Survey

Thank you for taking the time to respond to our visitor response survey. All responses are appreciated and all questions entered will be answered as promptly as possible.

* Required information

1. How did you first find out about Billings Hardware?
Newspaper	Television
Radio	Direct Mail
Driving by	Friend/Family
Internet (search)	Directed to Website
Other :

2. Why do you shop at Billings Hardware?
Price	Service
Selection	Convenience
Haven't yet	Other :

3. What departments in Billings Hardware do you most frequently shop?
1st choice:
2nd choice:
3rd choice:

4. Please rate the following for the Billings Hardware you most frequently shop
Personnel helpful & friendly :	Excellent	Good	Fair	Poor
Quick Checkout :	Excellent	Good	Fair	Poor
Courteous Checkout :	Excellent	Good	Fair	Poor
Selection :	Excellent	Good	Fair	Poor
Value :	Excellent	Good	Fair	Poor

5. Do you have any comments, suggestions, or questions about Billings Hardware?
*

6. May we use your response in our company literature?
Yes	No

7. Would you like to receive a response to your comments via email?
Yes	No

8. Weekly Special Email Information
We currently e-mail a weekly internet coupon to those on our mailing list. Would you like to be placed on our e-mail list for these coupons?
Yes, I want the weekly coupon.	No, don't send me the weekly coupon.

Billings Hardware will not sell, trade or give away your personal information, including your email address. We appreciate our customers and thank them for allowing us to send them information via email about our weekly coupon and specials. Occasionally, Billings hardware may send you information from one of our affiliate craft supply companies, but your information, however, is not given to those companies. If you would like to be included in the Billings Hardware e-mail list, please enter your e-mail address and city in the appropriate spaces provided below. If you require or would like an answer to your comments or questions we will need your email address.

Contact Information:
First Name:	*
Last Name:	*
Address:	*
City:	*
Zip Code:	*
Phone No.:	*
E-Mail Address:	*


If you are satisfied with all of your responses you may now submit them by clicking on the "Submit Answers" button, otherwise press the "Clear Fields" button and start over.

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Departments
Lawn & Garden/ Seasonal	Wild Bird/ Pet
Plumbing	Rope/ Chain
Electrical	Fasteners/ Nails Screws/ Hangers
Lawn & Garden/ Chemicals	Seasonal
Tools	Housewares/ Cleaning Supplies
Automotive	Power Equipment
Paint	Garden & Event Center
Repair Shop	Garden Center