Eleni Hope Designs

CUSTOMER INFORMATION SURVEY

Don't forget that any time you complete our monthly survey, you will be entered into our drawing to win $100.00 worth of FREE MERCHANDISE. Only one entry per month allowed. Prizes and surveys may vary month to month. Sigh up for our NEWSLETTER to receive updates and info

Name:
Address:
City:
State/Zip:
Phone:

What is your age?

8-18

19-25

26-35

36-45

46-55

Over 55

Household Income:

	Under 21,000
	21,000 - 40,000
	40,000 - 60,000
	60,000 - 100,000
	100,000-150,000
	Above 150,000

What is your Career?:

If you chose OTHER, Please tell us what it is

Purchasing Info: Buying for yourself or as a gift

E-Mail Address for Prize Notification

What items would you like to see us add?

Would you go to, or host a Jewelry Making Party?

Marital Status

# of children and their ages

10.

Favorite Colors to wear

11.

Types of jewelry you wear the most

12.

Amount of $ you would most likely spend on a piece of jewelry for yourself

13.

Amount of $ you would most likely spend on a piece of jewelry for a gift.

14.

Do you prefer custom designing your own jewelry or would you rather buy what is available.

15.

Do you prefer designs with or without words/sayings?

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