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Title (Ms., Mr., Dr. etc)
*First name
*Last Name
Company
Position/Job Title
*Street Address
*City
*State/Province
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Phone
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*Which of the following A-T product(s) did you purchase?
Wired Microphone
Wireless Microphone
Headphones
Mixer
Turntable
Phono Cartridge
Other (specify)

*Model(s) Purchased (Please use model number as it appears on the package)
Model Number Quantity Price Paid

*Store / Catalog / Website Where Purchased

*My primary use of this product is as a(n)
Music Listener
Musician
Live Sound Engineer
Studio Engineer
Home Recordist
Videographer
Broadcast Engineer
Mobile DJ
Music Minister
Education Professional
Sound Contractor/Consultant
Aerobics Instructor
Other (specify)

If musician, please specify instrument
Vocals
Guitar/Bass
Drums/Percussion
Brass/Woodwinds
Strings
DJ (Turntable/CD)
Other (specify)

What is the primary style of music that you listen to?
Classical
Pop
Rock
Metal
Punk
Alternative
Goth/Industrial
Electronica
Contemporary Christian
Gospel
Blues
New Age
Jazz
Smooth Jazz
Country
Folk/Bluegrass
Rap
Hip Hop
Latin
Other (specify)

What impressed you most about this product?
Specifications/Performance
Value
Appearance
Features
Reputation of Audio-Technica
Other (specify)

Please indicate the top three music/audio/gear magazines you read:

In what magazines have you seen Audio-Technica advertisements?

What helped you make your decision to choose this product?
Catalog/Literature
A-T Website
Salesperson
Advertising
Magazine Review
High-Profile Users
Friend
Other (specify)

Did you consider other brands before making this purchase?
If so, what brand(s)?

Please indicate your level of satisfaction with the following items:
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Satisfied		 Somewhat
Satisfied		 Somewhat
Dissatisfied		 Very
Dissatisfied
Dealer
Product Construction
Sound Quality
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Price
A-T Website

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