PRPWine - Wine Survey

The Wine Survey _{(Your privacy is important to us. We will not share or sell your information to any other party. Your answers will remain completely confidential. For questions or comments, please call our Customer Service Representatives at 800-851-1250. 1989 by PRP Wine International. You must be 21 years or older to participate.}

1. How often do you enjoy wine?
Seldom Occasionally
Once a week More often

2. Do you have a personal wine cellar or wine collection at home?
Yes No

3. How many bottles of wine have you selected during the last 12 months?
Less than 36 More than 36

4. Which wine growing areas are you familiar with or intrigue you the most?
Chianti South Australia
Germany Burgundy
Bordeaux Rioja

5. When selecting wine, do you consider the various growing regions to make an informed choice?
Yes
No
Occasionally

6. Which wines do you prefer?
White Wine Red Wine
Rose Wine A combination

7. How much do you typically spend on a bottle of wine?
Up to $20 $50 $100
More than $100

8. Are You?
Self-employed Employed
Retired

9. Your age range?
21 to 29 30 to 50
Over 50

Please enter your Name, Phone numbers and e-mail address to arrange for delivery of your free gifts*.

Name:

Day Phone:

Evening Phone:

Mobile Phone:

Zip Code:

Email Address:

For your convenience, which is the best number to reach you during the day? Day Evening
Mobile

Please input the three letter code found on the right hand side, underneath the survey section:

Name:	Day Phone:
Evening Phone:	Mobile Phone:
Zip Code:	Email Address:
For your convenience, which is the best number to reach you during the day?	Day Evening Mobile