1. How many times in the past month have you shopped at Widgets 'n Stuff?

2. Please provide your contact information below:

3. What was the last brand of automobile you test drove?

4. Please allocate 100 percentage points among the following criteria to indicate which are the most important to you when selecting a vendor. The higher the number you assign to a criteria, the more important that criteria is to you. You may use any number from 1-100 in each field, just be sure the total equals 100):