Drinkwell Platinum Registration

Title:
 Mr. Mrs. Ms. Miss.
First Name:
Initial:
Last Name:
Address:
City:
State:
Zip Code:
E-mail Address:
Telephone:
Date of Purchase:
Gender:
 Male Female
Marital Status:
 Married Single
Did you purchase this product for: (Check all that apply)

One Cat
Multiple Cats
Small/Medium Dog (Less than 40 lbs.)
Large Dog (Over 40 lbs.)
Multiple Dogs
Other:

Did you purchase this product from a:

Retail/Pet Store
Mail Order Catalog
Website
Veterinarian/Animal Clinic
Received as a Gift
Other:

What factors most influenced your purchase? (Check all that apply)

Brand Reputation
Better Health For Your Pets
Recommendation
Store Display
Special Promotion
Magazine or Catalog Advertisement

Article or Review
Website
Price
Specific Product Features
Pet Likes Running Water
Other:

Age in years:
Under 20
21-30
31-40
41-50
51-60
Over 60
Which group describes your annual family income?
Under $25,000
$25,000-$34,999
$35,000-$44,999
$45,000-$54,999
$55,000-$64,999
$65,000-$74,999
$75,000-$84,999
$85,000-$94,999
$95,000-$104,999
Over $105,000
How did you learn about the Drinkwell? (Check all that apply)

Magazine Ad:
Mail Order Catalog:
Website:
Article or Review
Product Packaging on Store Shelf

Veterinarian
Sales associate
Word of mouth
Other:

What features most influenced this purchase? (Check all that apply)

Free-falling Water Stream

Low Voltage Plug
Dishwasher Safe

Submersible Pump for Quieter Operation

Included-Large Capacity Reservoir

Snap On Lid

Pre-Filter

Rubber Feet

Quality
Color
Adjustable flow control

Charcoal filter
Overall design
UL listing
Other:



Did you purchase an additional capacity reservoir?

Yes No



If so, what size reservoir did you purchase?

50 oz 70 oz
Suggestions/Comments: