Contact Information & DemographicName First Last PhoneEmail Address Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code BirthdayMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderPlease SelectFemaleMaleAge18-2122-2930-3637-4445-5051-5556-6465+Buying HistoryHow often do you buy candles for yourself? Weekly Monthly Semi-annually Once a year I don't buy myself candles How often do you buy candles as a gift? Weekly Monthly Semi-annually Once a year I don't buy candles as gifts How much do you typically spend on a single candle? $5-$10 $11-$20 $21-$30 $31-40 $41-$50 $51-60 $61 or more Do you know how many ounces it was? Votive About 4oz About 6oz About 8oz About 10-12oz About 14-16oz 18oz or larger What's the most you've spent on a single candle? $5-$10 $11-$20 $21-$30 $31-40 $41-$50 $51-60 $61 or more Do you know how many ounces it was? Votive About 4oz About 6oz About 8oz About 10-12oz About 14-16oz 18oz or larger How often is a candle lit in your home? Daily Weekly Monthly Semi-annually Once a year How often is a candle lit in your office? Daily Weekly Monthly Semi-annually Once a year Where do you shop for candles? Online A specific store(s) Impulse purchase Which websites or stores? (3 max) FavoritesFavorite Candle or Perfume Brands?Please check all that apply Anthropologie Archipelago Bath & Body Works Byredo Chesapeake Bay Colonial Candle Crabtree & Evelyn Create & Barrel Diptyque DW Home Gibson & Dehn Goose Creek Harlem Candle Homesick Jo Malone La Botica Lafco Le Labo Molton Brown Nest Paddywax Pottery Barn Thymes Tom Ford Voluspa White Barn Wicks + Nola Wood Wick Yankee Candle Yves Saint Laurent Other What other brand(s) do you like?Please list up to 3Favorite Fragrance Types (Candles, Soaps, Perfume, etc)Please check all that apply Select All Agrestic (Oakmoss, Cannabis, Tobacco, Couramin) Aninamlic (Ambrette, Musk, Ambergris, Civet, Hyraceum) Citrus (Orange, Lemon, Bergamot, Grapefruit, Yuzu) Earthy (Patchouli, Vetiver, Cepes, Clay, Soil) Floral (Orris, Violet, Rose, Jasmine, Ylang Ylang, Neroli) Fresh (Peppermint, Spearmint, Menthol, Eucalyptus) Fruity (Pear, Raspberry, Plum, Peach) Gourmand (Nuts, Vanilla, Chocolate, Coconut, Caramel, Coffee) Green (Basil, Lavender, Thyme, Sage) Resinous (Leather, Frankincense, Labdanum, Myrrh) Smoky (Birch Tar, Cade, Hickory) Spicy (Clove, Nutmeg, Cardamom, Anise, Saffron) Woody (Sandalwood, Cedar, Fir, Cypress, Palo Santo, Pine) Δ
