Foxworth-Galbraith On-line Survey

50th Anniversary Parade, 1951

Foxworth-Galbraith wants to know more about your building material and home improvement needs so we can provide the best possible products and services.

You can help us to serve you by completing the following survey as completely as possible.

In return for your assistance, we will mail you a $10 off coupon good for your next purchase of $100 or more at one of our Foxworth-Galbraith stores.

Remember: All Information is confidential. We won't send you anything unless you ask for it and we'll never give or sell your submitted information or email to anyone else.

Your Name:
Mailing Address:
City:	State:	Zip Code:
Telephone:
Fax Number:
Your Email Address:

1. What is your age group?
Under 21 21-27 28-35 36-45 46-55 Over 55

2. Gender?
Male Female

3. What is your annual household income (optional)?
<$30,000 $30-49,000 $50-69,000 $70-100,000 >$100,000

4. Do You...
Own your home Rent Other

5. If you are a Building Professional or buy building materials professionally, select which of the following roles that apply to your business:

Owner/Contractor	General Contractor	Sub-contractor
Property Manager	Electrician	Remodeler
Government Agency	Commercial/Industrial Buyer	Repairman
Plumber	Cabinet Maker	Painter
Other:

6. Are you a Do-It-Yourselfer or a Build-It-Yourselfer?
Yes No

7. Select which of the following Projects you are planning within the next 6 months:

Kitchen	Doors / Windows	Bath
Deck	Fencing	Garage
Electrical	Plumbing	Painting
Room Addition	Outdoor Shed
Other:

8. Would you like your project installed by a Professional?
Yes No

9. May we have one of our stores contact you regarding your project?
Yes No

10. If you have ever visited a Foxworth-Galbraith store, please answer the following questions:

	a. Which Foxworth-Galbraith location(s) have you visited?
	b. Do we carry the products that you need? Yes No
	c. What additional products can we carry to better meet your needs?
	d. How would you rate our customer service level? Outstanding Above Average Average Below Average Poor Enter any comments about our service in question 12 below.
	e. Are our prices competitive? Yes No

11. What other stores do you shop for Building Materials?

12. How well are we meeting your needs?

13. How can we improve our value to you and your company?

14. Use the space below to enter any additional information, comments or questions.

Thank you for taking the time to complete this on-line survey!

COUPON RULES

Only one coupon per household.
Redeemable at any Foxworth-Galbraith location.
Must be redeemed within 30 days of coupon receipt.
Offer not valid with any other discount offer.