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* required fields
Name of Purchaser*
Address of purchaser*
City*
State*
Please Select:
AL
AK
AZ
AR
CA
CO
CT
DE
D.C.
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip*
Telephone*
Date installed*
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
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22
23
24
25
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29
30
31
Dealer/ Contractor name*
Address of Dealer/ Contractor*
Dealer City*
Dealer State*
Please Select:
AL
AK
AZ
AR
CA
CO
CT
DE
D.C.
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Dealer Zip*
Dealer Telephone*
1. Number of windows in your home*
2. Please check your age bracket*
Choose One
under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
3. Approximate age of your house (in years) *
4. Years you have lived in this house *
5. Windows were used *
To replace older windows
Part of an addition or remodeling project
All of the above
6. How many windows were replaced? *
7. What type of windows were replaced? *
Wood
Vinyl-clad Wood
Aluminum
Aluminum-clad Wood
Vinyl
Steel
Other
8. Please specify your top three reasons for selecting Paradigm windows. (Choose numbers 1-3, ranking your most important reason as #1)
Energy efficiency
N/A
1
2
3
Ease of Maintenance
N/A
1
2
3
Style/Appearance
N/A
1
2
3
Custom fitting Price/Value
N/A
1
2
3
Paradigm reputation
N/A
1
2
3
Warranty protection
N/A
1
2
3
Dealer Recommendation
N/A
1
2
3
Friend's Advice
N/A
1
2
3
Durability
N/A
1
2
3
9. How did you select your dealer?
Choose One
Yellow pages
Referral
Direct mail response
Newspaper ads
Other
10. Did your dealer discuss any other window systems with you? (If Yes, Please specify here)
11. In the future, do you plan to do any of the following remodeling projects?
Sunspace
Patio doors
French doors
Entrance
Roofing
Siding
Greenhouse windows
More replacement windows
12. Type of dealer
Choose One
Large company
Smaller company
Single Proprietor
13. Dealer's Business
Choose One
Window Specialist
General Remodeling
Builder and Remodeler
Other