What product are you registering?
Select a Product
Dishwashers
Laundry
Ovens
Cooktops
Ranges
Ventilation
Small Appliances
Vacuums
1.
Had you ever heard of Siemens home appliances
before first entering a store or talking to a designer?
Yes
No
2.
Which sources of information did you reference?
3.
Please rank the three most important factors that
influenced
your purchasing decision:
4.
Why did you purchase this Siemens product?
Remodeled kitchen
Built a new home
Recently purchased a new home
Replaced previously owned product which failed
Replaced previously owned product for better features
Replaced previously owned product for better performance
Replaced previously owned product for better design
Other
(please specify)
5.
Who was the primary decision maker for the purchase
of
this product?
Male head of household
Female head of household
Both
Landlord / Management Agency / Builder
6.
Which other brands did you consider before you
purchased Siemens?
7.
Which product (of any brand) do you intend to purchase
within the next 6 months?
8.
Number of people living in your residence
9.
How many of them are children?
Under
18 years of age
18
years of age+
10.
Please select your highest level of education:
11.
Please select your age:
12.
Which best describes your household income?
Under $50,000
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $249,999
$250,000 +
Contact Information
Yes! I want to receive offers or communications from
Siemens
home appliances.
Yes! I want to receive offers or communications from
other companies that may interest me. I understand
that my personal information may be shared with
and/or combined with information from other sources.
If you elected to receive future offers or communications,
how do you prefer we contact you? (select one)
Telephone
Mail
Email