* Your Name

* Your e-mail address

* Address 1

Address 2

State (select) Western Australia New South Wales Queensland Victoria South Australia Northern Territory Australian Capital Territory Tasmania Outside Australia

What Is Your Age? (select) 14-17 18-24 25-34 35-44 45-54 65+

What Is Your Gender? (select) Male Female

Marital Status (select) Married Single

How did you find the Summersalt Site?

(select) Swimming website Swim school newsletter Swimming club newsletter Other

Why Do You Swim? Fitness
Injury/Rehabilitation
Relaxation
Recreation
Competitive

How Often Do You Swim? Every day or more
2-6 times a week
About once a week
About once a month

Do you experience any affects from being in chlorinated water?

Yes
No

If so, what effects do you suffer

Have we given you enough information to make an informed decision?

Yes
No

Have you used a similar product?

Yes
No

How would you best describe your familiarity with a product like that described on this website?

Not aware
Only generally aware
Have investigated or research such products
Have seen a product and used a similar product
Have purchased or regularly used a similar product

How often could you use this product?

Once a week or more often
2-3 times a month
Once a month
Every 2-3 months
2-3 times a year
Once a year
Do Not/Will not use

Based on the description, how interested would you be in buying this new product, if priced within your budget?

Not at all interested
Not very interested
Not sure
Somewhat interested
Very interested

Which of the following best describes your need for this product?

I really need this product because nothing else can solve this problem
Could be a minor improvement over what I currently use
Looks OK but is about the same as what I am using now
My current product would serve me better
I am not interested in this product

At what price would you expect to pay for a new product like the one described (200ml)?

32.50
30.00
27.50
26.25
25.00
24.80
22.50
20.00

Whether or not you know about the product, how favourable is your overall reaction?

Poor
Fair
Good
Very Good
Excellent

On a scale of 1-10 how likely is it that you would recommend us to your friends and family? (1 is not likely - 10 is will definitely recommend)?

1 2 3 4 5 6 7 8 9 10

Would you like to obtain future information with regards to the development of this product and future products from Summersalt Body Care? (select) Yes No

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