Server: Netscape-Commerce/1.1 Date: Thursday, 18-Dec-97 20:35:56 GMT Content-type: text/html CVPS Visitor Registry

Visitor Registry

Welcome to CVPS' visitor registry! In an effort to get to know you and to serve our net guests better we would like to ask you a few questions. CVPS wants to assure you that this information is for our internal use only.

Please rate how well each of the following statements describes you by selecting a number from 1 to 5 on the drop down menu. A " 1 " means the statement does not describe you very well at all and a " 5 " means the statement describes you very well.
I am usually among the first to try new products and services.
I am a bargain hunter who would shop around for even the smallest savings.
I think more government controls over businesses are needed.
I try new styles before my friends do.

I would stick with a brand I usually buy, rather than try something I am not sure of.

If I were applying for a loan or mortgage, I would be more interested in a fixed-interest rate than a variable-interest rate.
I am actively involved in an environmental organization.

Please tell us about your experience with CVPS.Com

How many times have you visited CVPS.Com?

Overall, how does CVPS.Com compare to most other web sites you have visited? Please indicate by selecting a number from 1 to 5 on the drop down menu. A "1" means much worse than most and a "5" means much better than most.

Where are you visiting us from?

What type of fuel do you use to heat your home or business?

What type of fuel do you use to heat the hot water at your residence or business?


Gender: (are you) Female Male

Age (We won't tell anyone):
17 or under 35 - 44
18 - 24 45 - 54
25 - 34 55 and over

Which of the following best describes your household?
Individual living alone
Single head of household with children living at home
Couple with children living at home
Couple without children
Couple without children living at home
Single or couple living with other adults
Other

Which of the following categories best describes your total 1995 annual household income before taxes?

Under $10,000 $40,000 - $49,999
$10,000 - $19,999 $50,000 - $59,999
$20,000 - $29,999 $60,000 or more
$30,000 - $39,999 Prefer not to specify

Who is your current electric company?

Based on your overall experience with your current electric company, how satisfied would you say you are with them?
Very Satisfied
Somewhat Satisfied
Neither Satisfied nor Dissatisfied
Somewhat Dissatisfied
Very Dissatisfied

Are there any products or services that you would like an energy service company to provide you that are not currently available to you in a convenient or competitively priced way?


Where are you located?
City :
State / Province :
Postal Code (Zip) :
Country :


Please use this space for any comments or suggestions you have for us.

You're done! Thank you for taking time to help us get to know you better. Please click the "SUBMIT" button below to send us your answers. If you changed your mind and don't want to send us your answers, please click on the "CLEAR" button below. Thank you and happy surfing!

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