Hotpoint Laundry Product Tester Submission Form

This is a quick survey to have the chance to test and review new Hotpoint products, please answer as honestly as possible. Each tester will be required to test a product. The information gathered is needed solely for testing products by Hotpoint. Data collected will be kept private and confidential and will not be passed onto any third parties for marketing purposes.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

Gender

Age Range

Number of children

Occupation

Do you currently own a Hotpoint appliance if so please indicate which:

What type of machine do you require?

What type of product would you like to test?

Would you recommend Hotpoint to a friend or relative?

Describe in 3 words what the Hotpoint brand means to you:

On a scale 1-10, How important are the features below when considering buying a new appliance?

Rows	1	2	3	4	5	6	7	8	9	10
Design
Build Quality
Features
Noise
Cycle times
Capacity
Energy Rating
Colour
Value for Money

On a scale of 1 - 10, How important are the following in your day to day life?

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Technology & Gadgets
Sport
Arts & Literature
Fashion
Entertainment
Travel
Food & Drink