TAMMADGE MARKET RESEARCH, INC (Consumer Database)
Personal Information:

Name:              Birtdate:    Gender:

Street Address:   City:  Zip:
Email Address:  
Phone:                  

Ethnicity:      Marital: HH Income: Education:

divider(consumer)
Children:

Children in HH:    Child 1:   Child 2:   Child 3:
                          Child 4:   Child 5:   Child 6:


divider(consumer)
Occupation:

Company:      # of EE's in company:
Job Title:     Industry:


Company:      # of EE's in company:
Job Title:     Industry:


divider(consumer)
Vehicles Owned:
       Make:   Model:   Year:
       Make:   Model:   Year:
       Make:   Model:   Year:


divider(consumer)
Product Preferences:

Favorite beer: Next Favorite:
Favorite radio station: Next Favorite:
Do you smoke, if so what brand?

Stores shopped at:
      Central Market:    HEB:    Sam's/Costco:    Wal-Mart:    Whole Foods

Food types buy regularly:
          Fast Foods:    Herbs & Vitamins:    Juices:    Soy Products:


divider(consumer)
Technology Interests:
Own a computer? Desktop: Laptop: Brands currently own:
When last purchased a computer? When will purchase next computer?
Computer Skills: Who is your Internet Provider? Connection:

Cell Phone Provider: Cable/Satellite TV Provider: TV type:

Do you own:
    PDA/Palm Pilot: MP3 player: Xbox: Playstation 1 or2: Digital camera: