Name:      

Company:

Address:  

City:        

State:        (two letter abbreviation)    Zip:

Phone:     

Email:      

                Please send me information about
                     ClearMirror Products. 

Have you heard of or do you know what a ClearMirror product is?

                      Yes    No     ( If YES please go to #5)

2. Please read the following description:

A ClearMirror is designed to prevent condensation (or fogging) on bathroom mirrors. These products consist of a very thin silicone rubber heating pad mounted with adhesives to the back of the mirror. Your bathroom light switch operates a ClearMirror and when turned on, the front of the mirror, in the area of the heated pad, will stay clear of condensation regardless of the amount of humidity in the room. This will allow a person to use the mirror immediately following a shower or while another is taking a shower.

3. Would you have considered purchasing a ClearMirror product for your home had you been aware they existed?

                       Yes    No    (If YES please go to #7)

4. If no - Why not?

   Please go to #11 when you have completed #4

5. Which ClearMirror products have you heard of? (check all that apply)
                    International ClearMirror        SRA ClearMirror
                    Shower ClearMirror             Original ClearMirror

6. How did you hear about ClearMirror products?
                     Magazines - Please list: 
                     Internet                                Friend, neighbor or relative
                     Builder's design center          Home improvement television show
                     Direct mail                            Home improvement trade show
                     Mirror or bath fixture company
                     Other - Please list 

7. In what locations in your home would you install a ClearMirror product?
                     Owner's bath                       Main bath
                     Guest bath                           Basement bath
                     Other -  please list

8. What features do you like best about ClearMirror? (check best Two)
                    Reliable                                Good value
                    Easy to install                        Clearing time
                    Affordable                            Quality
                    Safe                                      Economical (energy usage)
                    Other -    please list  

9. What features do you like least about ClearMirror? (please list)

10. What would you expect to pay for a ClearMirror?
       $80 or less      $90      $100       $100+

11. How would you describe your household's remodeling skills?
                    We are "do-it-yourselfers"
                    We prefer to hire people to work on our house

12. How would you expect to purchase a ClearMirror? (Select One)
                    Builder installed
                    Small hardware store
                    Internet
                    Home improvement trade show
                    Direct order
                    Mirror or bath fixture company
                    Home improvement center
                    Independent contractor
                    Other - Please list

13. What is the approximate value of your home or project? 
      (check one - 000's omitted)
                    $1 - $175                   $276 - $400
                    $176 - $275               $401 - $750
                    Over $750

14. How likely are you to recommend a ClearMirror to a friend, 
      neighbor or relative?
      (Select the one that most applies)
                    Very likely to recommend
                    Likely to recommend
                    Not very likely to recommend
                    Would not recommend
                    I do not own one

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Thank you for taking the time to complete this
questionnaire.