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Customer Information

Mr.
Ms
Mrs.
Name/Age:  
Address:
City, State Zip: ,  
E-mail address:
Phone / Fax
000-000-0000		 /

Date of purchase
Product Purchased

Where did you obtain this product?
Other:

What factors influenced your purchase?
Other:

Please tell us about your computer.
CPU
Disk Size
Sound Card Other:
OS
Memory
CD-ROM

What is the main use of your computer system?
Other:

Do you own a 3D graphics card?
Yes No What kind?

Is your computer connected to a network?
Yes No

Do you have an ISDN/ADSL connection?
Yes No

Do you have a cable modem?
Yes No

Do you own a modem?
28.8k 56k None

Do you play multi-player games?
Yes No

Would you purchase a software product through the internet?
Yes No

Which method of modem gaming do you use?
Other:

How do you access the internet?
Other:

Which PC magazines do you read and how would you rate them in importance (rate 1-6, 1 being most important)
1. Other:
2. Other:
3. Other:
4. Other:
5. Other:
6. Other:

What type of entertainment software do you enjoy? (rate 1-6, 1 being most important)
1. Other:
2. Other:
3. Other:
4. Other:
5. Other:
6. Other:

What makes a good game? (Please mark 1-5, 1 being most important)
1. Other:
2. Other:
3. Other:
4. Other:
5. Other:

How many games do you purchase in a year?

What other game systems do you own?
Dreamcast Nintendo 64 Playstation Other:

How many hours per week on average do you play computer games?




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