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Is this your first Giro helmet? 1. Yes 2. No
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Is this your: 1. First snowsport helmet 2. Replacement helmet
How many days per year do you snowboard or ski?
1. 1-5 2. 6-10 3. 11-20 4. More than 20 days/year
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Education (please check categories which apply):
1. High School 3. Completed College
2. Some College 4. Graduate School
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Which best describes your family income?
1. Under $15,000 4. $35,000-$49,999 7. $100,000-$149,999
2. $15,000-$24,999 5. $50,000-$74,999 8. Over $150,000
3. $25,000-$34,999 6. $75,000-$99,999
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1. Mr. 2. Ms. 3. Miss 4. Ms.
First Name: Initial: Last Name:
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Serial Number:
(located on hard shell, under ear pad)
4
Date of Purchase:
month year
3
City: State: Zip:
Address/Number and Street: Apt.#:
Phone Number:
12
Your Date of Birth:
month day year
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Including children, what are the ages of the other people that live in your house?
Male: years Female: years
HEY!!!
REGISTER HERE FOR GIRO'S
CRASH REPLACEMENT PROGRAM
THANK YOU FOR FILLING OUT THIS QUESTIONNAIRE. WE VALUE YOUR ANSWERS AND INPUT. PLEASE CHECK HERE IF YOU WOULD PREFER
NOT TO PARTICIPATE IN FURTHER MARKET RESEARCH FOR GIRO OR OBTAIN INFORMATION ON NEW AND INTERESTING OPPORTUNITIES.
83F
1
What helmet did you buy?
1. Ravine™ Chute™ Pitch™2. 3. Bugaboo™4. Flint™5. Nine™6.
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Why did you choose this helmet? (top 2 reasons)
1.
2.
3.
Received as a gift
Crash Program
Color/Graphics
4.
5.
6.
Quality/Durability
Great Fit
It's a Giro
7.
8.
9.
Great Ventilation
Salesperson rec.
It's Lightweight
For which sports/activities will this helmet be used?
1. Snowboarding 2. Sking 3. Ski-boarding 4. Other
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What other brands did you consider?
1. Bell 4. Carrera 7. Jofa
2. Boeri 5. Leedom 8. RED (Burton)
3. Briko 6. Louis Garneau 9. Other
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What other sports do you participate in?
1. Road Cycling 5. Hiking 9. Golf
2. Mountain Biking 6. Backpacking 10. Team Sports
3. Running 7. Tennis 11. Motor Sports
4. Inline Skating 8. Skateboarding 12. Other
In the last six months have you or others in your household:
1. Purchased clothes through the mail? 6. Purchased two or more books?
2. Purchased gifts through the mail? 7. Purchased casettes/CDs?
3. Worked in your garden? 8. Donated to wildlife or
4. Traveled on vacation environmental causes?
5. Purchased PC or PC software? 9. Donated to charities?
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