| 1. |
| [_] Mr. |
| [_] Mrs. |
| [_] Ms. |
| [_] Miss |
| [_] Lt. |
| [_] Gen. |
| [_] Comrade |
| [_] Classified |
| [_] Other |
| First Name: .................................................... |
| Initial: ........ |
| Last Name: ...................................................... |
| Password: .............................. (max 8 char) |
| Code Name: ...................................................... |
| Latitude-Longitude-Altitude: ........... ........... .......... |
|
| 2. Which
model aircraft did you purchase? |
| [_] F-14 Tomcat |
| [_] F-15 Eagle |
| [_] F-16 Falcon |
| [_] F-117A Stealth |
| [_] Classified |
|
| 3. Date of
purchase (Year/Month/Day): 19....... / ......./...... |
|
| 4. Serial
Number:................................................ |
|
| 5. Please
check where this product was purchased: |
| [_] Received as gift / aid package |
| [_] Catalog showroom |
| [_] Independent arms broker |
| [_] Mail order |
| [_] Discount store |
| [_] Government surplus |
| [_] Classified |
|
| 6. Please
check how you became aware of the McDonnell Douglas product you have just purchased: |
| [_] Heard loud noise, looked up |
| [_] Store display |
| [_] Espionage |
| [_] Recommended by friend / relative / ally |
| [_] Political lobbying by manufacturer |
| [_] Was attacked by one |
|
| 7. Please
check the three (3) factors that most influenced your decision to purchase this McDonnell
Douglas product: |
| [_] Style / appearance |
| [_] Speed / maneuverability |
| [_] Price / value |
| [_] Comfort / convenience |
| [_] Kickback / bribe |
| [_] Recommended by salesperson |
| [_] McDonnell Douglas reputation |
| [_] Advanced Weapons Systems |
| [_] Back room politics |
| [_] Negative experience opposing one in combat |
|
| 8. Please
check the location(s) where this product will be used: |
| [_] North America |
| [_] Iraq |
| [_] Central / South America |
| [_] Iraq |
| [_] Aircraft carrier |
| [_] Iraq |
| [_] Europe |
| [_] Iraq |
| [_] Middle East (not Iraq) |
| [_] Iraq |
| [_] Africa |
| [_] Iraq |
| [_] Asia / Far East |
| [_] Iraq |
| [_] Misc. Third World countries |
| [_] Iraq |
| [_] Classified |
| [_] Iraq |
|
| 9. Please
check the products that you currently own or intend to purchase in the near future: |
| [_] Color TV |
| [_] VCR |
| [_] ICBM |
| [_] Killer Satellite |
| [_] CD Player |
| [_] Air-to-Air Missiles |
| [_] Space Shuttle |
| [_] Home Computer |
| [_] Nuclear Weapon |
|
| 10. How
would you describe yourself or your organization? (Check all that apply:) |
| [_] Communist / Socialist |
| [_] Terrorist |
| [_] Crazed |
| [_] Neutral |
| [_] Democratic |
| [_] Dictatorship |
| [_] Corrupt |
| [_] Primitive / Tribal |
|
| 11. How
did you pay for your McDonnell Douglas product? |
| [_] Deficit spending |
| [_] Cash |
| [_] Suitcases of cocaine |
| [_] Oil revenues |
| [_] Personal check |
| [_] Credit card |
| [_] Ransom money |
| [_] Travelers check |
|
| 12. Your
occupation: |
| [_] Homemaker |
| [_] Sales / marketing |
| [_] Revolutionary |
| [_] Clerical |
| [_] Mercenary |
| [_] Tyrant |
| [_] Middle management |
| [_] Eccentric billionaire |
| [_] Defense Minister / General |
| [_] Retired |
| [_] Student |
|
| 13. To
help us understand our customers' lifestyles, please indicate the interests and activities
in which you and your spouse enjoy participating on a regular basis: |
| [_] Golf |
| [_] Boating / sailing |
| [_] Sabotage |
| [_] Running / jogging |
| [_] Propaganda / disinformation |
| [_] Destabilization / overthrow |
| [_] Default on loans |
| [_] Gardening |
| [_] Crafts |
| [_] Black market / smuggling |
| [_] Collectibles / collections |
| [_] Watching sports on TV |
| [_] Wines |
| [_] Interrogation / torture |
| [_] Household pets |
| [_] Crushing rebellions |
| [_] Espionage / reconnaissance |
| [_] Fashion clothing |
| [_] Border disputes |
| [_] Mutually Assured Destruction |