Info:
Name (optional):
Address:
Email:
Age:
-- Please Select --
21-24
25-28
29-32
Sex:
Male
Female
Social Status:
Single
Married
Separated
Widowed
Employment:
Student
Self-employed
Employed
Professional
Income (in pesos)
-- Please Select --
10,000-15,000
15,001-20,000
20,001-25,000
25,001-35,000
35,001-50,000
50,001-Up
Questions:
How many pairs do you own?
-- Please Select --
1-10 pairs
11-20 pairs
21-30 pairs
31-40 pairs
41-50 pairs
51 pairs and up
What colors do you own? (check all that apply)
black
brown
beige
white
gold
silver
red
blue
yellow
green
orange
purple
Others
What size do you wear?
-- Please Select --
5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
13.5
14
14.5
15
What materials do you prefer? (check all that apply)
Genuine leather
Leatherette
Canvas
Suede
Lace
Others
What brands do you own? (please name 3)
How often do you buy flats?
-- Please Select --
1-3 pairs a year
4-6 pairs a year
7-9 pairs a year
10-12 pairs a year
13 pairs and up
Up to how much are you willing to spend on flats? (in pesos)
-- Please Select --
below 500
500-999
1000-1499
1500-1999
2000-2499
2500-2999
3000 and up
How many pairs do you own?
-- Please Select --
1-10 pairs
11-20 pairs
21-30 pairs
31-40 pairs
41-50 pairs
51 pairs and up
What colors do you own? (check all that apply)
black
brown
beige
white
gold
silver
red
blue
yellow
green
orange
purple
Others
What size do you wear?
-- Please Select --
5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
13.5
14
14.5
15
What materials do you prefer? (check all that apply)
Genuine leather
Leatherette
Canvas
Suede
Lace
Others
What brands do you own? (please name 3)
How often do you buy heels?
-- Please Select --
1-3 pairs a year
4-6 pairs a year
7-9 pairs a year
10-12 pairs a year
13 pairs and up
Up to how much are you willing to spend on heels? (in pesos)
-- Please Select --
below 1000
1000-1999
2000-2999
3000-3999
4000-4999
5000-5999
6000 and up
How high are your heels?
-- Please Select --
1-2 inches
3-4 inches
5-6 inches
7 and above
What shoes do you wear to work/school?
flats
heels
slippers
sneakers/rubber shoes
What shoes do you wear to the mall?
flats
heels
slippers
sneakers/rubber shoes
What shoes do you wear to parties/events?
flats
heels
slippers
sneakers/rubber shoes
What shoes do you wear when travelling?
flats
heels
slippers
sneakers/rubber shoes
