Woodard

First Name

Last Name

Email Address

Address

City

State

Zip

Date Purchased--

Authorized Woodard Dealer's Name

Dealer City

Dealer State

Dealer Zip

Is this new or replacement furniture?YesNo

Is this your first Woodard purchase?YesNo

How did you hear about Woodard?

Describe where applicable

What magazines do you read on a regular basis?

What was your reason for purchasing Woodard furniture?
Rank in order of importance (most important = 1; least important = 5)

Price

Appearance

Comfort

Product Reputation

Sales Recommendation

In Stock Availability

Age

Household Income

Do you plan to buy additional pieces? YesNo

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