Thank you for making Mannington a part of your home. This form will allow us to contact you regarding your flooring should the need arise.
*
Title:
Mr.
Ms.
Mrs.
Ms.
*
First Name:
Middle Initial:
*
Last Name:
*
E-mail:
Address:
Apartment:
City:
State:
--- SELECT A STATE ---
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WASHINGTON, D.C.
WEST VIRGINIA
WISCONSIN
WYOMING
--------------------
ALBERTA
BRITISH COLUMBIA
MANITOBA
NEW BRUNSWICK
NEWFOUNDLAND
NORTHWEST TERRITORIES
NOVA SCOTIA
NUNAVUT
ONTARIO
PRINCE EDWARD ISLAND
QUEBEC
SASKATCHEWAN
YUKON
Zip Code:
Phone Number:
*
Date of Purchase:
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
--
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
*
Product Type:
Resilient or Sobella
Laminate
Hardwood
Porcelain
Adura®
*
Collection Name
(i.e. NatureScape®):
*
Pattern Number:
Store Where Purchased:
*
Name:
Address:
City:
State:
--- SELECT A STATE ---
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WASHINGTON, D.C.
WEST VIRGINIA
WISCONSIN
WYOMING
--------------------
ALBERTA
BRITISH COLUMBIA
MANITOBA
NEW BRUNSWICK
NEWFOUNDLAND
NORTHWEST TERRITORIES
NOVA SCOTIA
NUNAVUT
ONTARIO
PRINCE EDWARD ISLAND
QUEBEC
SASKATCHEWAN
YUKON
Zip Code:
Phone Number:
In what room(s) did you install your floor?
Hallway
Bedroom
Living Room
Dining Room
Kitchen
Bathroom
Entry Way
Which of following best describes this purchase?
installed in a newly built home
part of a larger remodeling project
part of a larger room addition project
replaced older flooring
If you replaced a floor, approximately how old was the product you replaced?
years old
Please indicate who A) had the most influence in selecting this style, B) the most influence in selecting this brand, C) actually made this purchase from the store, and D) actually installed this product (choose one box for each column):
A) Selected Style
B) Chose Brand
C) Made Purchase
D) Installed Product
Both male and female household heads
Male household head
Female household head
Builder or Contractor
Installer from store/outlet where flooring was purchased
Decorator/Designer
Other family member or friend
Other person
What influenced your decision to purchase your flooring?
Already Owned Mannington Flooring
Price
Friend's/Relative's Recommendation
Styling
Salesperson's Recommendation
Warranty
Store Display
Mannington's Reputation
Advertising
How long have you lived in your home?
years
months
How did you first become aware of the Mannington Brand flooring?
Direct Mail
Magazine Ad
Newspaper Ad
Radio Ad
TV Ad
Internet
Friend/Relative's Recommendation
Already Owned Mannington
Salesperson's Recommendation
Store Display
Other :
How would you rate our selection (color/design/specie/texture) compared to the others you looked at?
Excellent
Average
Below Average
Poor
How would you rate the overall value of our product?
Excellent
Average
Below Average
Poor
How would you rate your overall experience?
Excellent
Average
Below Average
Poor
What degree did the Warranty play in your decision to purchase?
Greatly
Somewhat
Very little
None
Would you participate in a (12) month follow-up survey?
Yes
No
Comments:
© 2008 Mannington Mills, Inc. All Rights Reserved.