1. Gender: Select Male Female

2. Date of Birth: mm Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec - year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982

3. Martial Status: Choose One Single Married Separated Divorced Widowed

5. What is the total annual income of your household, including all sources?

Choose One under $25,000 between $25,000 and $49,999 between $50,000 and $74,999 between $75,000 and $99,999 more than $100,000

6. What products are you planning to buy? (check all that apply)

	Within 3 months	3-6 months	after 6 months
Camcorder
Digital Still Camera
Television
DVD
VCR
Speakers
Receivers
Satellite System
Internet Terminal
Digital Network Recorder
Portable Audio Product
Telephone
Car Stereo
Computer
Personal Digital Assistant (PDA)
Video Game Console

7. I would like to receive future communications from Sony regarding promotions
    and special offers