* Please enjoy your Nu-Wave Oven 3-4 weeks before completing this registration form
         as your opinions are very important to us. Thank you.

       Bold = Required
  
First Name: Middle Name: Last Name:
Street Address: Apt#:
City: State: Zip Code:
Telephone#: E-Mail Address:
Date of Purchase: Serial # (Starts with a "D" or "K") : Model#:
Purchase Price: Purchase Locations(store name):

 

      * Privacy Policy - We do NOT sell customer information.
      * We appreciate your taking the time to fill out this questionnaire. We want to please you, our
         customer!

  

1. Please add me to the Hearthware Mailing List?
Yes NO
 

2. Who was the Primary Purchaser?
a) Male Female
b) Single Married
# of Household members_______
c) Age 20-29 30-39 40-49 50-59 60-69 Over 70
 

3. How did you hear about this item?
a) Retail Store Display e) Catalogue/Magazine
b) Infomercial/TV f) Internet
c) Newspaper g) Other:
d) Friends/Family  
 

4. What features convinced you to Purchase this item?
a) Cooking Frozen Foods e) Portability
b) Speed f) Ease of Operation
c) Energy-Saving g) Healthier Cooking
d) Price h) Other:
 

5. Which Foods do you enjoy the best with the Nu-Wave Oven?
a) Poultry e) Vegetables
b) Beef f) Breakfast
c) Pork g) Healthier Cooking
d) Seafood h) Other:
 

6. What do you like best about the Nu-Wave Oven?
a) Taste e) Easy use & Cleaning
b) Speed f) Compact Size
c) Energy Saving g) Doesn't heat up kitchen
d) Healthy Cooking h) Other:
 

7. What foods are most important in your life?
a) Beef e) Seafood
b) Pork f) Breads / Pasta
c) Poultry g) Other:
d) Vegetables  
 

8. Where do you shop most often for electrical household good?
a) Department Store e) Specialty Stores
b) Internet f) Catalogue / Mail Order
c) Price Clubs g) Infomercial / TV Spots
d) Discount Dept. Stores h) Other:
 

9. Occupation?
a) Management f) Homemaker
b) Secretarial g) Professional
c) Sales / Marketing h) Academic
d) Customer Service i) Retired
e) Self-Employed j) Other:
 

10. Would you recommend the Nu-Wave Oven to your family or friends?
Yes NO