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1. First Name:
Initial:
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Last Name:
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Address:
Apt Number:
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City:
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Province:
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
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Postal Code:
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2. Phone
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3. Email Address: (Example: yourname@yourhost.com)
Yes! I want to receive offers or communications from Hitachi via e-mail.
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4a. Date of Purchase:
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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17
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24
25
26
27
28
29
30
31
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
*
4b. Where did you purchase your Hitachi Tool(s)
*
5a. Model Number #1:
*
5b. Serial Number #1:
6a. Model Number #2
6b. Serial Number #2
7a. Model Number #3
7b. Serial Number #3
8a. Model Number #4
8b. Serial Number #4
9. What is the type of intended use/application for this tool?
Choose
Do-it-yourselfer
Hobbyist
Home improvement
Professional
Woodworking
10. What do you plan on purchasing next?
Choose
A. Corded
Drill/Driver (A)
Reciprocating Saw (A)
Circular Saw (A)
Miter Saw (A)
Hammer Saw (A)
Hammer Drill (A)
Sander (A)
Porta-Band (A)
Right-Angle Drill (A)
Impact Wrench (A)
Rotary Hammer (A)
Nail gun/Stapler (A)
Router (A)
Vacuum (A)
Jig Saw (A)
Other Corded Product
B. Cordless
Drill/Driver (B)
Reciprocating Saw (B)
Circular Saw (B)
Combo Kits (B)
Impact Wrench (B)
Hammer Drill (B)
Rotary Hammer (B)
Right Angle Drill (B)
Screw Driver (B)
Other Cordless Product
11. Please select the option that best describes your ocupation
Choose
Residential building
Remodeling/home improvement
Commercial Construction
Plumbing
HVAC
Electrical
Masonry-brick/concrete
Plaster/drywall installation
Tile/marble/flooring
Cabinet/furniture carpentry
Roofing/siding/steel
Other woodworking
Industrial/maintenance/manufacturing
Agriculture/farm use
Government
Automotive/boating
Other commercial construction
Other non-trade
12. Where do you usually purchase your Hitachi tools?
Choose
Contractor supply
Home center
Electrical supply
Tool supply
Lumber/building supply
Woodworker supply
Industrial supply
Hardware store
Plumbing supply
Welding supply
Rental
Internet
Mail order
Don't know
Received as a gift
Other
13. How many power tools do you own/use?
Choose
1-3
4-6
7-10
11-15
16-24
25+
14. Please select two (2) of the following reasons that most influenced the purchase of this Hitachi tool.
Reputation
Tool Capability
Tool Reliability
Feel of Comfort
Durability of the Tool
Availability of the product
Service of Product
Price
15a. If replacing an electric tool, which brand?
Choose
Makita
Black & Decker/DeWalt
Milwaukee
Skil/Bosch
Ryobi
Porter Cable
Other
15b. If replacing a pneumatic tool, which brand?
Choose
Senco
DeWalt
ITW Paslode
Stanley-Bostich
Porter Cable
Max
Other
16. What percentage of the power tools you own are Hitachi tools?
Choose
1-10%
11-25%
26-50%
51-75%
76-99%
100%
First time purchase of Hitachi brand
17. Your gender:
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Male
Female
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