Consumer Survey Form

Your privacy is important to us, thus we will not release or resell your email or contact information.

Personal Infomation:

Name as IC:


Address:




Zip Code:

Email Address:


Phone/Mobile:


1) Gender:
    Male Female

2) Age:
    Below 15   16-25   26-35   36-45   Above 46

3) Education Levels:
    University  High School Graduate 
    Vocational/Technical Traning  
    College Gradurate

4) Approximate Annual Household Incom:
    Below $10,000 $10,000-$29,999 $30,000-$49,999
    $50,000-$69,999  $70,000 or above

5) Occupation: 

1) How did you know about us?
    -------------- Search Engine Trade Magazine Consumer Magazine Retail Store Customer Referral Other Website Blog Newspaper Friends Other

2) Which type of shoe/Bag you most interested in?
     Slip-in    Laced-up CWH Hi-cut  Mid-cut
 

3) What design would you like to see more in our shoes and bags?
     Cartoon   Flolist Moden Graphic

4) Which aspect(s) you most focused on when purchasing a shoe/bags,
    (Pls. select or rearrange the no.below in sequence that you wish to.)
    Type of Shoe/Bags   2. Design of Paint  3. Material of Shoe/Bags 

    


Comments/Questions: