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First Name:
Last Name:
Address:
City:
State/Province:
Zip/Postal Code:
Phone:
Email:
 
In the last 6 months, where did you buy pet food most often? (select one)
Petco
Petland
Petsmart
Pet Supermarket
Pet Supplies Plus
PetValu
Superpetz
Grocery Store
Discount Store (Wal-Mart, Costco, etc.)
Other Pet Store

Number of dogs and cats in household?
Dogs
Cats

Yes, I buy:
For Dogs(s): Dry Food Canned Food Biscuits/Treats
For Cat(s): Dry Food Canned Food Treats Pouches  Not Sure What a Pouch Is?

In the last 6 months, choose the brand(s) you purchased for your DOG(S).
(you may select up to four)
MAX® DOG (Nutro)
Natural Choice (Nutro)®
Eukanuba®
IAMS®
Pedigree®
Pro Plan®
Purina Dog Chow®
Science Diet®
Other
Which brand was bought most often?
 
In the last 6 months, choose the brand(s) you purchased for your CAT(S).
(you may select up to four)
MAX® CAT (Nutro)
Natural Choice (Nutro)®
Eukanuba®
Friskies®
IAMS®
Pro Plan®
Purina Cat Chow®
Science Diet®
Other
Which brand was bought most often?
 
In the last 6 months, what percentage of your DOG food purchases were
Nutro (Natural Choice or MAX)?
 
In the last 6 months, what percentage of your CAT food purchase were
Nutro (Natural Choice or MAX)?
 
Date of birth of your PET(S)?
Dog 1: Cat 1:
Dog 2: Cat 2:
Dog 3: Cat 3:
 
Size of dog(s) when full-grown?
Dog 1:
Dog 2:
Dog 3:
 
Do you breed your pet(s)?
If yes, I breed: