First Name:

Middle Initial:

Last Name:

Address (Number and Street):

City:

State:

Zip Code:

Phone Number: (ie: 3335551212)

Email Address:

Purchase Price (Excluding Tax):

Date of Purchase (mm/dd/yyyy):

Name of Store Where Purchased:

Model Number:

Serial Number:

Optional Information

We hope you'll take a few moments to answer the following questions so we can learn more about our Fiesta Gas Grill customers. Thanks!

What do you consider the most important factors influencing your decision to purchase this grill? (Check top three):

Appearance

Brand

Price / Value

Size of Grill

Side Burner

Total BTU's

Cooking System

Cooking Surface

Other

If other:

How did you hear about Fiesta Gas Grills?

Newspaper Ad

Televsion Ad

Magazine Ad

Radio Ad

Retail Flyer

Recommendation

Other

If other:

This Fiesta Gas Grill Is:

First propane grill purchase

Addition to another BBQ grill

Replacement to another BBQ grill

If this grill is a replacement to another BBQ grill, how many years did you own your previous grill and what brand did you previously own?

Number of Years:

Previous Brand:

Did you receive this grill as a gift?

No Yes

Did you buy this grill assembled?

No Yes

What other brands did you consider?

Char-Broil

Coleman

Kenmore

Sunbeam

Thermos

Weber

Other

If other:

Who made the decision to purchase this product?

Male

Female

Joint Decision

Who is the primary user of this product in your household?

Male

Female

Equal Use

How often do you plan on using your new grill?

Every day

1-4 times a week

Weekends only

A few times a month

Specific occasions

Do you grill year-round?

No

Yes

Were you able to assemble your new Fiesta Gas Grill in an acceptable amount of time?

No

Yes

Purchased Assembled

Why did you buy this Fiesta Gas Grill at this particular retailer?

Broad selection of grills

Trusted retailer

Price

Product was on sale

Always shop there

Impluse purchase

Convenient location

Other

If other:

Overall, how satisfied are you with this gas grill?

Very satisfied

Somewhat satisfied

Neither satisfied or dissatisfied

Somewhat dissatisfied

Very dissatisfied

Do you wish to receive more information on Fiesta products and recipes?

Yes

No

Required Information: