( All fields marked with an * are required.) *Name Address City State Zip Country Date of Birth *E-mail

1) Have you ever purchased a scale from My Weigh before?

yes

no

2) If yes, which scale(s) did you purchase?

3) On a scale of 1-10 (1 being lowest and 10 being highest), how would you rate the product you purchased?

1 2 3 4 5 6 7 8 9 10

4) What do you feel could have been done to make your experience better?

5) Did you have problems finding a merchant that carries My Weigh scales?

yes

no

6) Have you ever seen ads for My Weigh scales before?

yes

no

7) If yes, where did you see them?

Newspaper Magazine TV Internet Other Name of publication Other

8) Would you consider buying a My Weigh scale as a gift?

yes

no

9) Did you find the My Weigh web site easy to use?

yes

no

10) What things can be improved on? Information, Layout, Images, Speed, Other
( Please explain in the comments area )