PERSONAL INFORMATION
First Name
 Last Name
Email Address
Address
City
 State
 Zip Code
Phone Number
    		Date of Birth
/ / 		Gender
 Female
 Male
 
SURVEY QUESTIONS
Q1. What type of fireplace(s) do you have in your home?
 Open hearth wood-burning fireplace
 Dedicated gas fireplace with log set
 Fireplace insert
 Wood stove
 Pellet stove
 None
Q2. How often do you use your open hearth fireplace?
 Once a week or more often
 Once or twice per month
 Occasionally (only 2-3 times during the winter)
 Never / Do not own
Q3. About how often do you use firelogs?
 Almost every fire
 For about half of the fires
 Only occasionally
 Never


 
 

 

 

 

 


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