Dale Laboratories Customer Survey

Introductory Questionnaire

Thank you for your interest in Dale Laboratories.
This survey is designed to help us provide you with services that best meet your needs. We appreciate your taking the time to answer these questions.
Be sure to enter your full name and complete address, and specify exactly which developing service you want so that we can send you your free, introductory film processing mailer.

Please note that this special offer is limited to one use per household. U.S. residents only.

Salutation:

First name:

Last name:

Address:

City:

State:

ZIP Code:

Daytime telephone number:

Email Address:

I would like a film mailer for the following free, introductory processing service (please choose only one option):

Have you used Dale Laboratories' services before?

Yes

No

If yes, when the was the last time you used our services?

Your primary reason(s) for not using our services more recently?

How did you hear about our processing services?

If you heard about us from a Web Site, which one? If Other, how did you hear about us?

Age:

Education:

Annual Household Income:

What photographic services do you currently use?

Why do you take pictures?

What types of pictures do you take?

What photographic equipment do you own?

What type of film do you generally shoot?

What brand of film do you generally shoot?

How many rolls of film do you shoot a year?

What computer equipment do you own?

How many hours a day do you use the Web?

Do you research products online before buying them?

How often do you buy products online?

Please allow two weeks for delivery of your free mailer due to high demand.
The Laboratory reserves the sole right to determine eligibility for this offer.
This special offer may be rescinded at any time.

Indicates Response Required