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Register Purchases
On behalf of all the employees at Hooker Furniture Corporation, we thank you for purchasing our furniture. Your retailer can assist you in many areas. We would, however, like to know more about you. Therefore, we ask you to complete the following questionnaire. This will register your purchase, and you will become eligible for twice-yearly drawings for $5,000 worth of Hooker furniture through the dealer from whom you purchased this product. Please note that your responses will be used for information purposes only. No names will be sold to outside mailing companies.
First Name: (required)
Last Name: (required)
Zip Code: 
Item Number(s): 
  * Please include item number in the above field if possible
Purchased by:  Male Female Joint Purchase
Marital Status:  Married Single Divorced/Widowed
Residence:  Single Family House
Do You:  Own
Children:  Give number of children at home by age category
Under 13
13 and Over
Combined Annual Family Income: 
The following is a list of six purchase motivators that influence a purchaser of home furnishings. Please rank each in order of importance to you in the purchase of this product with "1" being the most important and "6" being the least important.
        Prestige of manufacturer or the product made by them
        Prestige of retailer from whom you bought the product
        Design of the product: styling, finish, engineering, etc.
        Quality of the product
        Service of the retailer
        Price of the product
How did you become acquainted with Hooker Furniture?  Advertising
Company Signs, HangTags, Brochures, Product Information
Retail Sales Person
Friend / Relative
In-Store Furniture Display
Is this your first purchase from Hooker Furniture?  Yes
Purchased From:   
Retailer Name: 
Date Purchased:  / / (mm/dd/yyyy)
Were you aware of Hooker Furniture Company before you made your recent furniture purchase from the company? Yes No
What were the most important features that prompted you to purchase this Hooker Furniture product?
What improvements could be made to this product?
What was the main reason for this furniture purchase?
If you chose "Other," please tell us what that reason is.
When was your last furniture purchase prior to this one? Within last 6 months
Within last year
Within last 2 years
How likely are you to purchase additional products from Hooker Furniture Company? Very likely
Somewhat likely
No Opinion
Somewhat unlikely
Very unlikely
How likely are you to recommend Hooker Furniture Company to others? Very likely
Somewhat likely
No Opinion
Somewhat unlikely
Very unlikely
Did you find the Hooker Furniture Website useful in your furniture shopping process? Yes
What area of our website did you find most helpful or interesting?

What improvements would you make to our Website to make it more user-friendly and informative?

On a scale from 1 to 7 with 1 being "I strongly agree" and 7 being "I strongly disagree," please rate your agreement with the following statements about your home.
        A. I care more about how my home looks than most.
        B. It is important to me that my whole house be a place where kids can be kids.
        C. I am still trying to make my home the home I've always wanted.
        D. I'll never be satisfied with how the inside of my home looks.
        E. Impractical furniture is okay as long as it is especially attractive.
        F. If furniture cannot stand up to some use and abuse, it doesn't belong in my house.
        G. When I buy furniture, I'm thinking about how it will look to visitors and guests.
        H. I think a home is more appealing when it has a mixture of styles.
        I. Shopping for furniture and accessories is a way for me to be creative.
        J. I find shopping for furniture to be intimidating.
        K. I don't have the time or interest to worry about decorating.
        L. Friends sometimes ask my advice or opinion about home furnishings and decoration.
        M. We often entertain or have guests/family over.
        N. I consider myself a compassionate person.
        O. Being organized and punctual is an important part of character.
Email Address: (required)
Would you be interested in receiving correspondence from Hooker Furniture Company, including product information?
Yes   If Yes, you will be sent an email asking you to verify your email address.
May we add your name to our Customer Response Panel? Periodically, we request input from members of this panel. Sometimes you could receive compensation for your participation.
Join our email list to receive news from Hooker Furniture, Bradington-Young, and Sam Moore. Sign Up Here
Please note that your responses will be used for information and contact purposes only by Hooker Furniture. No names will be sold to outside mailing companies.
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