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When Purchased:
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Month:
Year:
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System Condition:
(New or Used)
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New
Used
Factory Refurbished
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System Price Range:
(including monitor)
(DO NOT include a printer)
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Less than $1500
Between $1500 and $2500
Between $2500 and $3500
More than $3500
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Actual System Price:
(including monitor)
(DO NOT include a printer)
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(In US $'s please)
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System Manufacturer:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Where Purchased:
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(Click arrow for choices)
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Please specify name of business from above:
(such as: Best Buy, Radio Shack, PC Mall, Gateway, etc.)
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'Return Purchase' Guarantee:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Warranty Provided:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Used For:
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Family/Home
Business
Both
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Where do you obtain Technical Support?
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Manufacturer
Place of Purchase
Both=(Manufacturer and Place of Purchase are Same)
Mixed Vendors-Various Support
Self-Support(fix-it-myself)
Other Local Support
Other
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If 'Other' in above list, please specify:
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Rank this Technical Support:
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Excellent: "The Best - No Complaints"
OK: "Some Complaints"
Bottom of the Barrel: "Nothing But Complaints"
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Explain "Why?" on the above ranking:
(Toll-Free numbers,short wait,automated support option,etc.)
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What software do you use on your system?
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Games
Business/Suite
Accounting/Financial
Internet
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What operating system(s) do you use on your PC?
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DOS
Windows 3.xx
Windows 95
Windows NT
OS/2
Unix/Linux
Other (Please list below)
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Please list 'Other':
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Please comment on your operating system -good and bad- and your satisfaction:
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System Description:
Please list the specific brand, model, size, speed, etc. of each of your system components. If you
are unsure, list any information about the components that you can find.
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Case Style:
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Full Tower
Mid-Tower
Desktop
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Keyboard:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Processor Type:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Processor Speed:
(MHz)
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Memory(RAM) Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Memory(RAM) Size:
(MB)
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Memory(Other Specifications):
(simm or dimm,parity or non,Xns,ECC,etc.)
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Hard Drive Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Hard Drive Size: (MB/GB)
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Hard Drive(Other Specifications):
(speed,seek/write times,EIDE,SCSI,etc.)
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Monitor Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Monitor Size: (Total)
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Monitor Size: (Viewable)
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Monitor Model Designation:
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Monitor(Other Specifications):
(dot pitch, shadow mask, flat screen, etc.)
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CD-ROM Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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CD-ROM Speed(X):
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CD-ROM(Other Specifications):
(writeable,re-writeable,dvd,etc.)
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Video/Graphics Card Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Video/Graphics Card Memory Amount(MB):
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Video/Graphics Card(Other Specifications):
(2D/3D,Accelerator,etc.)
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Sound Card Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Sound Card (Other Specifications):
(FM synthesis,wavetable,16 or 32 bit,etc.)
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Speakers Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Speakers Model Designation:
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Speakers(Other Specifications):
(watts,subwoofer,3D surround,etc.)
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Modem Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Modem Speed:
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Modem(Other Specifications):
(X2 or Flex,telephony, options,etc.)
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Network Card Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Network Card Model Designation:
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Network Card(Other Specifications):
(options,etc.)
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Removable Media Storage Devices Brand:
(such as:Iomega's JAZ or ZIP drives, etc.)
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Removable Media Storage Device Model Name:
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Removable Media Storage Device(Other Specifications):
(speed,capacity,options,etc.)
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Motherboard Brand:
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(Click arrow for choices)
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If 'Other' in above list, please specify:
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Motherboard(Other Specifications):
(Flash BIOS,AGP,USB,etc.)
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Any Other Components:
(Please describe in detail)
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Please tell what you like about your PC system. What is good?
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Please tell what you don't like about your PC system. What is bad?
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Please describe what you feel would be your Dream PC System for the 'used for' and
'software used' selections you selected earlier.
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Processor:
Memory(RAM):
Hard Drive:
CD/DVD:
Monitor:
Speakers:
Video/Graphics Card:
Sound Card:
Case Style:
Removable Media Drives:
Modem:
Network Card:
Keyboard:
Other, etc.:
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Why would this be your dream system? Be specific.
Brand? Tech support? Speed? Storage capacity?
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What advice would you give a novice, first-time PC buyer?
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Which one PC manufacturer would you recommend?
|
(Click arrow for choices)
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If 'Other' in above list, please specify:
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Please explain "Why?" you recommend that manufacturer:
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Web Site Information:
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How did you hear about our Web Site?
|
Web Search Engine (such as Yahoo, Excite, etc.)
If you checked the box above, please specify "Which search engine":
Friend or Family
Advertisement
Please list "Where you saw the advertisement":
Other
Please describe the "Other" way you heard about our Web Site:
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Please give us your ideas for:
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(1)improving our methods of getting more PC Owners to this site,
(2)improving the input and/or output of this form,
(3)how the output on the consolidated report should be organized to be most useful,
(4)your comments about our site, and
(5)any other information or comments you'd like to share.
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Owner Information:
Please provide the following information to receive your FREE consolidated report:
Note: Check out our Confidentiality Guarantee.
We never release any names, personal information, or e-mail addresses to any
other party or organization.
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