Please complete the following helpful survey and receive your free 2-pack
and hit the SUBMIT button below to finalize your order.
One free 2-pack per customer completing the survey below. All items in the survey below must be completed in order to receive the free 2-pack.
NO CUSTOMER INFORMATION WILL EVER BE SHARED, RENTED OR SOLD TO ANY THIRD PARTY UNDER ANY CIRCUMSTANCES. 
All client information collected through our transactions and surveys will be maintained, in a highly secure environment,
and used solely for the purposes of internal market research and customer updates.

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Gender Male Female Age Group: Select Age Range 15-20 21-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ Please select an item. Have you already used EmergenSeat? Select Yes No If yes, was it purchased? ...or a free sample? How Satisfied Were You? 1(least) 2 3 4 5 6 7 8 9 10(most) Better than covering w/ toliet paper or free covers? Y N              Is it a good value? Y N How good is the product idea? 1(least) 2 3 4 5 6 7 8 9 10(most) Where did you first discover EmergenSeat? Event Mailer Store Friend / Relative Search Engine Other If from a relative, please select... Mom Dad Grandparent Other Good care package/stocking stuffer? Y N

Who would you buy EmergenSeat for? Self Family/Kids Friends Coworkers All  Where would you likely use this product? (check all that apply)  Outdoor event Park fac. Store/mall Marina Office/job site Concerts Plane Gas stn.   What are the main reasons you would use it? (check all that apply) Preparedness Antibacterial/safety Green Friendly Paper Weight/Durability Coverage Area Pomegranate infusion Convenience Comments and suggestions:

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