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1. Please tell us where you live:
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Zip/Postal Code:
Telephone Area Code
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2. Please tell us a bit about your child:
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Age: Sex:
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3. How many Zeets™ have you used so far:
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4. Approximately how long was it between when you first
got your Zeets™ and when you first used one?
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Used
same day 1
to 3 days
4
to 7 days
More
than 1 week
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5. Please rate Zeets™ on the following characteristics:
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(a) How comfortable are
Zeets™ for your child?
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(b) How convenient are
Zeets™ for you?
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(c) How does your child
enjoy using Zeets™?
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(d) How did your child
enjoy the story?
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(e) How does your child
enjoy the Zeet™ character?
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(f) How effective are
Zeets™ in providing a clean seating surface for your child?
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(g) How effective are
Zeets™'s handles in keeping your child from touching toilet
surfaces?
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(h) Do Zeets™
reduce the stress of taking your child to a public restroom?
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No Yes
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(i) How likely are you
to purchase more Zeets™?
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(j) How likely are you
to recommend Zeets™ to your friends with young children?
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6. Please provide any comments, feedback or Zeets™ experiences you would
like to share; feel free to suggest stores where you would like or expect to see Zeets sold:
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7. (Optional) If you would like to be on our
e-mailing list to be advised of stores in your area or other
updates about Zeets™ and related future product offerings, please
give us your e-mail address. We do not sell our lists
to third parties.
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