First Name
Last Name
Address 1
Address 2
Work Phone
Home Phone
Did you purcahse an area rug or carpet?

Date of Purchase
What is the name of the Karastan product purchased?
Name of Karastan Dealer
Dealer Zip Code
Where did you place your new Karastan product? (check all that apply)
What is your age?
Do you have children that live in the home

Which best describes your reason for purchasing a new area rug or carpet?
Which of the following factors influenced you to purchase Karastan over your second-choice brand? (check all that apply)
Which group describes your annual household income?