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SWELL Customer Survey
1. About Me
14%
*
1
. Your personal information will be used only to select a winner for the $100 SWELL Gift Card Sweeps!
Your personal information will be used only to select a winner for the $100 SWELL Gift Card Sweeps!
Name:
City/Town:
State:
-- select 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 Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
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 Islands
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
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address:
*
2
. Age
Age
Under 18
18 to 23
24 to 30
30 to 40
Over 40
Prefer not to answer
*
3
. Do you shop at SWELL?
Do you shop at SWELL?
Yes, often
Yes, occasionally
Yes, I've shopped here before
No, I have never shopped at SWELL
4
. Who do you shop for on SWELL? check all the apply
Who do you shop for on SWELL? check all the apply
Myself
My friends
My children/grandchildren
My spouse/significant other
Other (please specify)
5
. What Are Your Favorite 3 Online Stores to Shop?
What Are Your Favorite 3 Online Stores to Shop?
Online Store 1:
Online Store 2:
Online Store 3:
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