3M Filtrete Survey

Filtrete™ Air Quality Products Survey

If you recently purchased a Filtrete™ Air Cleaning Filter from 3M, please take a few moments to fill out our survey, even if you have filled one out in the past. We want to make sure Filtrete filters are always your first choice and the information you provide will help us stay current with the needs of our customers seeking air quality solutions. Be assured we will keep your information confidential. We will NOT share or sell any information you provide.

Thank you for your help and for choosing Filtrete filters! If you have any questions regarding your Filtrete filter, please contact us at 1-800-388-3458.

First Name:	Last Name:
Address:	City:
State:	Zip:
Phone:	Email (optional):

Comments (optional):

This information will be used only to provide you with information about 3M products and in accordance with 3M's privacy policy found at www.3M.com/privacy.html

1. Is this the first time you purchased a Filtrete Filter?

YES NO


2. What was your last filter purchase before selecting this Filtrete filter?
Filtrete Ultra Allergen filter (purple package) Filtrete Micro Allergen filter (red package) Other Filtrete filter Other brand electrostatic filter Washable filter Fiberglass filter (spun glass, hog's hair...) Non-electrostatic pleated filter Don't Know/Don't Remember

3. Who in your household decides that it is time to change the filter:

MALE FEMALE

4. Who in your household actually replaces the filter:

MALE FEMALE

5. Who in your household makes the filter purchase:

MALE FEMALE

6. Please indicate the age of the purchaser (Please check one):

18-24
25-34
35-44
45-54
55-64
65+

7. Where did you purchase this filter:

The Home Depot	Kmart	Lowe's
Target	Wal-Mart	Hardware Store
Grocery Store	Drug Store	Internet
Other

8. What is the Primary Reason this Filtrete Filter was purchased? What if any is the Secondary Reason? (Please check only one reason in each column).

		Primary Reason	Secondary Reason
a)	Seeking help to remove allergens from indoor air
b)	Mold or pollen
c)	Household dust
d)	Smoke (from cigarettes, pipes, cigars, fireplaces, wood-burning stove, candles)
e)	Pet hair or dander
f)	Outdoor pollutants tracked into the home
g)	To help clean the air my family and I breathe
h)	Am a health-concerned person and try to have a healthier home environment
i)	To reduce how frequently I need to dust
j)	Recommended by a doctor
k)	Recommended by a heating, cooling, ventilating (HVAC) contractor or service person
l)	Saw an ad/commercial that compelled me to try it
m)	The American Lung Association gives me assurance it will perform
n)	The FILTRETE/3M brand gives me assurance it will perform
o)	It is now available where I shop
p)	To help protect my heating, cooling, ventilation system
q)	Other

9. Is anyone in your household affected by any of the following problems?

		CHILD (Under 18 yrs)	ADULT (18 Yrs +)
a)	Seasonal allergic reaction to pollen or mold (commonly called hay fever)
b)	Year-round allergic reaction to pollen or mold
c)	Allergic reaction to household dust
d)	Allergic reaction to pet hair or pet dander
e)	Allergic reaction to smoke
f)	Any other related problem NOT mentioned above
g)	No one in our household has any of these problems (skip to question 11)

10. In your opinion, has the use of Filtrete filters had any effect on the people in your household who are listed in the previous questions as having allergic reactions?:

	YES, positive effect
	NO, negative effect
	No effect
	I don't know

11. Please indicate which types of equipment are in your home: (PLEASE CHECK ALL THAT APPLY)

Furnace	Central Air Conditioning
Heat Pump	Room Air Purifier
Window/Room Air Conditioner	Other:

12. Who of the following currently live in your household? (PLEASE CHECK ALL THAT APPLY)

Children under age 18	A smoker(s)
A dog(s)	NONE of the above
A cat(s)	Other:

13. Please indicate your total household income:

This information will be used only to provide you with information about 3M products and in accordance with 3M's privacy policy found at www.3M.com/privacy.html

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