Thank you for taking the time to register your new Chamberlain® Gate Access System. By registering your product you will receive: 1.) Product Protection With the information you provide we can confirm the date of purchase of your product. This confirmation is of benefit to you, especially if your original proof of purchase is lost. 2.) Proof of Ownership Your model number and other information will be kept in our files for up to ten years. 3.) Help us Develop New Products We value your input! Your responses will help us bring you new products specifically designed to meet your needs. If you have any questions please contact Madeline Krey, The Chamberlain Group, mkrey@chamberlain.com.

1.	Title:
	Mr.  Mrs.  Ms.  Miss.

2.	First Name:

3.	Middle Initial:

4.	Last Name:

5.	Street Address:

6.	Apartment Number:

7.	City:

8.	State:

9.	ZIP Code:

10.	Email:

11.	Homeowner's Age:
	Under 30 30 - 39 40 - 49 50 - 59 Over 60

12.	Approximate value of your home?
	Under $250K $250K to $374K $375K to $499K $500K to $624K $625K to $745K Over $750K

13.	Month/Year of Gate Operator purchase:

14.	Purchase Price:

15.	Model Number: (Located on your owner's manual and product package)
	GA200D GA400D GA420D

16.	Is this the first time purchasing a gate operator?
	Yes No

17.	Is this gate operator to be used on an existing gate or a new gate?
	Existing gate New gate

18.	Where did you purchase this new operator?
	Home Depot® Lowe's® Menards® Catalog Farm Supply Store Hardware Store Internet - Chamberlain website Internet - Other website Professional Fence/Gate Dealer Other, please specify

19.	If purchased gate from a catalog, which catalog?

20.	If purchased gate from a professional fence/gate dealer, which dealer?

21.	If purchased gate from another website besides Chamberlain, which website?

22.	From what sources was product information obtained prior to purchase? (check all that apply)
	Advertising    Catalog    Chamberlain Website    Consumer Product Review Magazine    Friend/Family    Retailer Website    Retailer Sales Associate    Retailer Store Display/Brochure    Builder/Developer    Other Websites

23.	Which advertisements influenced your decision to purchase this new operator? (check all that apply)
	Magazine    Mailer    Newspaper/circular    Radio    TV    Website/Internet

24.	Which product features influenced your decision to purchase this new operator? (check all that apply)
	Accessories available    Chamberlain brand    Compatibility with garage door opener    Installation DVD    Ease of use    Safety Features    Security Features    Other, please specify

25.	What about the retailer influenced your decision to purchase this new operator? (check all that apply)
	Advertising    Display/Signage    Installation availability    Location    Price    Sales Associate    Selection

26.	Is this new gate operator replacing an older system?
	Yes No

27.	If a replacement, for which brand?
	GTO/Mighty Mule Zareba Do not know Other, please specify

28.	If a replacement, approximate age of unit being replaced? (In years)

29.	Why do you have a fence/gate (check all that apply)?
	Safety (keep children and/or pets in yard)    Security    Livestock containment    Came with house    Other, please specify

30.	Who installed/will install this new gate operator?
	Purchaser, family, and/or friend Handyman Installer affiliated with retailer where purchased Other Professional Gate Access System Installer

31.	What type of gate is the operator being installed on?
	Aluminum Chain Link Iron Vinyl Wood Other, please specify

32.	Accessories purchased/used with new gate operator. (check all that apply)
	Safety Sensors    Vehicle Loops or Wands    Contact Edges    Keypad    Keypad with In-house Communication    Automatic Locks    Solar Panel    Other, please specify

33.	What are your views of the Chamberlain brand?
	High quality products    Easy to install    Good value for the price    Robust product features    Good warranty    Helpful customer service/technical help    No opinion about Chamberlain    Never heard of Chamberlain previously

34.	Would you like to receive other Chamberlain offers or participate in Chamberlain consumer surveys?
	Yes - As a thank you we will send you a free 3-button remote for your gate operator No

	Thank you for taking time to fill out this questionnaire. Your answers will be used internally for market research studies and reports. We will not distribute you information to any third parties.