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Consumer Survey

Please complete and submit this form. The information will help us to serve you better.

All of the information you supply here will be kept strictly confidential and not shared outside Chapin International. See link to our policy below.

Please note: All fields marked with a red * are required.



* E-mail Address:
* First Name:
* Last Name:
Street Address:
City:
* State/Province:
Zip Code:
Country:
* Date Of Purchase:
   (mm/dd/yy)
Store:
* Model#:
       


* Age Group: * Sex:
18 - 24 Male
25- 34 Female
35- 44
45- 54
55 or older


*     What was your planned use for this Sprayer? (check all that apply)
     Weed Control      Pest Control      General / Home
     Deck Care      Wallpaper      Watering
     Farm & Agriculture      Commercial Use      Other:


*     Did you plan to purchase this type of product before going to the Store? Yes No
*     If Yes, was that brand Chapin? Yes No
       If no, what was that brand?     


*     Please choose the factors influencing your purchase.
     Reputation      Safety features
     Warranty      Previous owner of a Chapin product
     Product features      Price
     Product appearance      Recommendation
     Convenience of product      Previous sprayer non-functional
     Additional sprayer for other application      Other:

*     What was the most important factor?



* Select one of the following 3 statements:

     Is this product a replacement of another Chapin Product?
     A replacement of another brand product?
               If so, what brand?
     New purchase?


*     Did packaging influence your buying decision? Yes No
    If so, how?


*    What do you consider to be the 3 most important characteristics of a sprayer? (1 being the most important).

1.
2.
3.



*    Please rate each of the sprayer features below and include any comments in the space provided

 Very
satisfied		SatisfiedDis-
satisfied		 Comments
a. Safety
b. Quality
c. Features
d. Performance
e. Appearance
f. Ease of use
g. Assembly
h. Ease of cleaning
i. Instructions
j. Price



*    What did you use your sprayer for? (check all that apply)

Weed Control Pest Control General/Home
Deck Care Wallpaper Watering
Farm & Agriculture Commercial Use Other


* How many times have you used your sprayer?     


* Have you had any communications with Chapin's Customer Service Dept.?
(Please answer yes if you have had dealings via either telephone and/or email)      Yes No


(If yes, then the following are required)
If you have had any communications with Chapin's Customer Service Dept, either telephone or email, what was the nature of the call? (check one)
     Maintenance
     Will not spray
     Leaks/ will not pressurize
     Missing parts
     Wrong Parts
     Other          


Please rate your experience with Chapin Customer Service:     
Very satisfied Satisfied Dissatisfied
Comments about your Customer Service contact:




* Can we contact you in the future by e-mail for additional follow up?      Yes No


* Did the sprayer meet your expectations?      Yes No


* Would you purchase another Chapin Sprayer in the future?      Yes No


    What features would you like to see improved?

      Additional Comments:
    

 

    

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