| Tell us about you: |
| Name: |
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| Email: |
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| Age: |
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| Marital Status: |
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| Children: |
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| Children's Ages: |
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| Income Level: |
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| Do you use coupons? |
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| How Often: |
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| What type of Coupons do you use? Check all that apply. |
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Restaurant |
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Family Entertainment |
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Grocery |
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Retail Stores |
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Automotive |
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Health & Fitness |
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Home Improvement |
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Home Services |
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Business Services |
| Do you use coupons from Pearland's Best Coupon Magazine? |
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| How Often? |
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| Which Ones? |
| Do you use the internet for printable coupons? |
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| Do you use coupons from the newspaper? |
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| Do you use Val Pak or Money Mailer coupons? |
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| Do you eat out more than once a week? |
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| How Often? |
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| Do you take your clothes to a dry cleaner? |
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| How Often? |
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| Do you plan on selling your house in the next 6 months? |
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| Do you plan on buying a house in the next 6 months? |
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| Do you plan on purchasing a vehicle in the next 6 months |
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| Do you plan on making any home improvements sometime in the next 6 months? |
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| Where do you make most of your purchases? |
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Would you like to have local merchants coupon offers Periodically emailed to you?
YES! I would like to receive future product information from Best Coupons.
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