VIVA WANTS TO KNOW MORE ABOUT YOU!
EVERYONE WHO COMPLETES SURVEY WILL BE ENTERED TO WIN A PANDORA CHARM BRACELET MADE OF 925 STERLING SILVER. SUPPLIES ARE LIMITED SO DON’T DELAY!
PLEASE TAKE A FEW MINUTES TO FILL OUT THE SURVEY BELOW AND MAIL IT IN TO:
VIVA MAGAZINE 920 YONGE ST., SUITE 610 TORONTO, ON M4W 3C7 YOU CAN ALSO FAX IT TO 416-703-6392 OR GO TO VIVAMAGONLINE.COM/VIVASURVEY AND FILL IT OUT ONLINE. Name: Address: City:
Province:
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Where did you receive your copy of Viva?
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FILL OUT THIS FORM AND KEEP GETTING YOUR FREE COPY OF VIVA
1. Sex ❑ Male ❑ Female
7. Are you the principal shopper? ❑ Yes ❑ No
2. Age ❑ Under 18 ❑ 18-24 ❑ 25-34 ❑ 35-49 ❑ 50-64 ❑ 64+
8. What would you like to see more of in VIVA? ❑ Health content ❑ Beauty content ❑ Fashion ❑ Food recipes ❑ Gluten-free content ❑ Other (please list)
3. Marital status ❑ Single ❑ Married 4. Household Income ❑ Under $49,999 ❑ $50,000 - $74,999 ❑ $75,000 - $99,999 ❑ $100,000 - $149,999 ❑ $150,000 - $199,999 ❑ $200,000 or more 5. How has VIVA impacted your health and beauty buying decisions? ❑ Very much ❑ A little bit ❑ Not at all 6. Is it important to you to buy eco-friendly products for you and your family? ❑ Yes ❑ No ❑ Whenever possible ❑ Only for certain items
9. What do you like best about VIVA? ❑ Health ❑ Beauty ❑ Food and recipes ❑ Fashion ❑ Lifestyle 10. Would you be willing to pay more for sustainably packaged food products with a clear benefit to the environment? ❑ Yes ❑ No ❑ How much more? 10% 20% 50% 11. When you buy natural health, beauty and personal care products, do you feel confident that you are purchasing a “natural product?” ❑ Yes ❑ No ❑ Sometimes
12. When buying a dietary supplement, do you read all the ingredients on the label? ❑ Yes ❑ Yes, but not sure what they are ❑ No, I have confidence in the brand ❑ No, I choose by price 13. Would you use a natural product over a synthetic one regardless of price? ❑ Yes ❑ No ❑ Depends on the product 14. Who do you turn to for health advice? ❑ Medical doctor ❑ Naturopathic doctor ❑ Both ❑ Other 15. To try a new product would you like to receive? ❑ 10% off ❑ 20% off ❑ 30% off ❑ Doesn’t matter if it is something that I want 16. Do you use coupons? ❑ Every time ❑ Depending on the offer ❑ Sometimes ❑ Not at all