Customer Questionnaire

Please assist us by completing the questionnaire and Receive 20% off select Pyrex products upon completion.

* All fields are required

Your Age:

Your Gender:

M

F

Email Address:

Would you like to hear from us regarding new products and promotional opportunities?

Y

N

Was your new Pyrex product:

A gift

- OR -

A self purchase

What item(s) did you purchase/receive?:

At what store did you purchase the product(s)?:

How did you become aware of this product?: (Please check all that apply)

a) In-store display

b) TV ad

c) Information Online

d) Magazine Ad

e) Family, friends, etc.

f) Other

If Other, please explain

Did you participate in a Pyrex Promotion?:

Yes

No

If so, which promotion(s) did you participate in?:

How important was the promotion in your purchase decision for new Pyrex products?: (Please check one)

Extremely Important

Somewhat Important

Not Very Important

Not At All Important

Have you seen any Pyrex product advertising?:

Yes

No

If yes, where did you see the advertising?: (Please check all that apply.)

TV

Magazine

Online

Other

Overall how would you rate your satisfaction with the product on a scale from (1-5)?: (5 being outstanding and 1 being poor.)

5

4

3

2

1

Would you purchase the product again?:

Yes

No

Please Explain:

Would you recommend this product to friends/family?:

Yes

No

Please Explain:

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