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First Name
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MI
Last Name
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Address
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City
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() - *
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Purchase Date
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Product Purchased
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Model
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Purchased At
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Type Use
Salon Barber Shop Other
Is this your first clipper/trimmer? Yes No
If no, what brand do you currently own?
Brand 
 Model 
Brand 
 Model 
How would you rate your purchase on the following?
    Cutting Performance
Good
Fair
Poor
    Power
Good
Fair
Poor
    Noise Level
Good
Fair
Poor
    Overall Performance
Good
Fair
Poor
Check the two (2) most important reasons influencing your purchase:
Value for Purchase
Andis Reputation
Lightweight
Styling/Design
Quality/Durability
Prior Experience
Warranty
Special Features
Recommendation
    Other
Are you:
1) Male Female
2) African-American Asian Caucasian Hispanic Other
Are most of your customers:
African-American Asian Caucasian Hispanic
Would you like to be informed of a new product?
Yes No
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