Product Name:

Model Number:

Date of Purchase:

What influenced your purchase? (Please check as many that apply.)
Salesperson Magazine Ad Website Catalog Promotion Brand Reputation Appearance Quality Sound Price Prior Purchase Artist endorsement Teacher Friend Other

Purchased from: Retail Store Website Catalog

Dealer Name:

Please complete if purchased from a retail store.

Street Address: City: State -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Province: Country:

Zip / Postal Code:

First Name:

Last Name:

Street Address: City: State -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Province: Country:

Zip / Postal Code:

Email:

Do you want to join our emailing list? Yes No

Gender: Male Female

Select Age: Please Select under 18 18 - 29 30 - 39 40 - 49 50 - 65 66 +

Marital Status: Single Married

Education Attainment: Please Select Student Elementary High School Some College College Degree Graduate School

Income Level: Please Select 0 - $24,999 $25,000 - $49,999 $50,000 - $99,999 $100,000 - $249,999 $250,000 +

What is your main instrument? Please Select Percussion Drums Keyboard Electric Guitar / Bass Accoustic Strings Wind Vocals DJ Other

Playing Level: Please Select Beginner Amateur Student Professional Educator

Years Played: 0 - 5 6 - 10 11 - 20 21 +

How often do you play music? Daily Weekly Monthly

What type of music do you play? (Please check as many that apply.)
Afro Cuban World Music Brazilian Jazz Rock Pop Country Western Christian Classical Other

Do you own other Toca instruments? Yes No

If yes, please select as many categories that apply.
Congas Bongos Timbales Ethnic Drums Brazilian Percussion Blocks Cowbells Misc. Hand Percussion

How often do you purchase musical instruments? Please Select Weekly Monthly Semi-Annually Yearly Infrequently

When do you plan to purchase a musical instrument?
1 - 3 mos. 4 - 6 mos. 7 - 11 mos. 1 year +

What instrument are you planning to purchase?

What other brands of percussion do you own? (Please check all that apply.) LP Pearl Gon Bops Remo Tycoon Meinl Rhythm Tech Other

What music magazines do you read? (Please check all that apply.) Drum! Modern Drummer Drumhead Downbeat Jazztimes Latin Beat Musico Pro Rhythm Drummer Other

Comments: