Title*
Mr.
Mrs.
Ms.
Miss
First Name*
Last Name*
Street*
Apartment
City*
State*
AL
Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District
of Columbia
FM
Fed. States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisianna
ME Maine
MH Marshall
Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Missisippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern
Mariana Is.
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VA Virginia
VI Virgin Islands
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
AB Alberta
BC British
Columbia
MB Manitoba
NB New Brunswick
NF New Foundland
NT Northwest
Territories
NS Nova Scotia
ON Ontario
PE Prince
Edward Island
QC Quebec
SK Saskatchewan
YT YUkon
Non-US, Non-Canadian
International
Zip Code*
Yes, I would like to
receive SmartScoop coupons and offers, pet
care tips, helpful suggestions on keeping my
SmartScoop product operating efficiently, new
product introductions, information about our
other pet brands, and other pet-related communications!
Yes , send me valuable offers.
No , do NOT send me offers.
Send offers to this email address:
Date of Purchase*
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
2008
2007
What was the
primary reason you
bought a self-cleaning litter
box?
(check one)
Odor control
No more daily scooping
More time for me
Box is always clean
Healthier for me and my family
Healthier for cats
Use less litter
Other, explain
What was the primary reason
you
bought SmartScoop? (check one)
Previous experience with
SmartScoop
products
Specific product features
Convenience
Online user reviews
Recommendation from
friends or family
Demonstration of product
Price
Product design or appearance
Packaging
SmartScoop.com website
Other, explain
What SmartScoop
feature was the most important in your purchase
decision?
(check one)
Large litter area
Price
Design/Appearance
Accessories
Ease of cleaning/
maintenance/assembly
Low noise level
Uses clumping litter/uses
my brand of litter
Multiple cat use
Other, explain
Where did you
buy SmartScoop?
(check one)
Pet Specialty store
(ie, PETCO, PetSmart,
Pet Supplies Plus)
Pet Specialty website
(ie, petco.com, petsmart.com)
Discount Store
(ie, Walmart, Target, Meijer)
Discount Store website
(ie, walmart.com, target.com,
meijer.com)
Grocery Store
(ie, Publix, Winn Dixie, Kroger)
Pet product catalog
Internet
Other, explain
How many cats
are there in your home?
(check one)
One
Two
Three
Four
Five or more
Are there other
pets in your home?
No, only cats
Yes, bird(s)
Yes, dog(s)
Yes, other
What brand of litter
do you use?
Arm & Hammer
Tidy Cat
Fresh Step
Swheat Scoop
World's Best
Scoop Away
Ever Clean
Whatever litter is on sale
Other
Where do you
keep your cat’s litter box?
Basement
Bathroom
Bedroom
Closet
Mudroom
Utility Room
Laundry Room
Other, explain
Have you ever
owned a self-cleaning
litter box?
Yes
No
If so, what
brand?
LitterMaid™
ScoopFree™
Litter Round-up™/
LitterSweep™
Purrforma™
Pet Safe® Simply Clean™
Litter Robot™
How likely are you to recommend
SmartScoop? (check one)
Definitely will recommend
Probably will recommend
Not sure
Probably will not recommend
Definitely will not recommend
When did you decide to buy
SmartScoop? (check one)
Before going into store/
internet store/before reading
catalog
In store/while online/while
looking through catalog
Not sure
Thank you for taking our survey!
The following questions
are optional but will better help us
understand our
customers so we can better serve the needs of cat
lovers.
Your Date of Birth?
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
2008
2007
2006
2005
2004
2003
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
Marital Status:
Married
Single
Your Occupation?
Professional/technical
Upper management/executive
Middle management
Sales/marketing
Clerical/service worker
Tradesman/machine
operator/labor
Retired
Military
Other, explain
Your Spouse's Occupation?
Professional/technical
Upper mangement/executive
Middle management
Sales marketing
Clerical/service worker
Tradesman/machine
operator/labor
Retired
Military
Other, explain
Which best describes
your
household income?
Under 15,000
15,000-19,999
20,000-29,999
30,000-39,999
40,000-49,999
50,000-59,999
60,000-74,999
75,000-99,999
100,000-124,999
125,000-149,999
150,000-174,999
175,000-199,999
200,000-249,999
250,000 and over
Level of Education
High school
Trade/technical school
Some college
2 Year degrees (Associates)
4 Year degree (BA, BS)
Master's degree
Doctoral degree
Professional degree (JD, MD)
Do you rent or own your residence?
Rent
Own
Validate your submission
by entering
the text from this image EXACTLY
as shown below:
Use ALL caps.
Validate Submission: