Questions marked with an asterisk (*) are mandatory.

	1. * Why did you visit MelroseJewelers.com today?
	Purchase Browse Comparison Shopping Other, please specify

	2. * Are you primarily interested in:
	Watches Watch Accessories Jewelry Other, please specify

	3. If you selected ‘Watches', which brands are you interested in?
	Rolex Breitling Cartier Audemars Piguet Patek Philippe Omega Other, please specify

	4. If you selected ‘Jewelry', are you interested in
	Earrings Necklaces Rings Bracelets Engagement Rings Wedding Bands Other, please specify

	5. * Did you find what you were looking for today?
	Yes No. If you select this, why not?

	6. Please rate your experience in the following areas
	Website Navigation Excellent Above Average Average Below Average Terrible 1 2 3 4 5 Product Selection Excellent Above Average Average Below Average Terrible 1 2 3 4 5 Price Excellent Above Average Average Below Average Terrible 1 2 3 4 5

	7. What changes would you make to MelroseJewelers.com (if any) to enhance your shopping experience?

	8. * General Information (will remain confidential).
	Age Gender Zip/Postal Code Email Address

	9. * Annual Income
	Less than $30,000 USD/yr $30,000-$60,000 USD/yr $60,001-$100,000 USD/yr More than $100,000 USD/yr