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State:
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Note: if obtaining the serial number from the product package, please exclude any characters that may appear in brackets or parentheses.
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Date of Purchase:
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Purchase Price (excluding all sales tax)
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1. From what type of retailer did you purchase this camera?
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Electronics Store (Store name):
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Camera Store (Store name):
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Online Retailer (Store name):
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Warehouse Club (Store name):
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Mass Retailer (Store name):
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Other Store (Please specify):
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2. How did you first learn about this camera?
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In-Store Display
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TV Advertisement
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Cinema Advertisement
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Newspaper Ad/Article
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Magazine Ad/Article: Photo/Imaging
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Magazine Ad/Article: Video
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Magazine Ad/Article: Other
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Canon U.S.A. Website
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Internet Review Site
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Internet: News Site, Blog, Other
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Radio
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Product Brochure
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Trade Show
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Relative's/Friend's Recommendation
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Dealer/Store Personnel Recommendation
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Other (Please specify):
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3. What factors most influenced your decision to purchase this
camera? (Multiple answers up to 3 are acceptable)
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Technical Features
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Image Quality
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Operability
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Dimensions and Weight
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Design and Style
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EOS System Accessories
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EOS System Lenses
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Reliability/Durability
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Price
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Canon Name/Reputation
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Dealer/Store Personnel Recommendation
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Web Reviewer's Recommendation
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Blogger's Recommendation
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Magazine's/Newspaper Recommendation
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Relative's/Friend's Recommendation
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EF Lens(es) and/or EOS System Accessories Already Owned
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Other (Please specify):
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4. What camera features most influenced your decision to
purchase this camera? (Multiple answers up to 3 are acceptable)
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AF Performance (ex. Speed and Accuracy, etc)
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Multiple Focusing Points
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Viewfinder
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Maximum Burst
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Continuous Shooting Speed
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Live View Operation
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HD Video (If applicable)
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Pixel Count/Resolution
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Tone Reproduction/Dynamic Range
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Sensor Size
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Low Noise/Noise Reduction
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ISO Setting Range
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Many Imaging Options (ex: Picture Styles, Automatic Lighting Optimizer, etc)
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Operative Responsiveness
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Various Picture-shooting Modes
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Metering/Flash Metering Performance
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Rear LCD Monitor
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Operability (Control Layout)
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Graphic User Interface (Menus and Displays)
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Direct Print Capability
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Recording Medium
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Power Source (Battery Capacity and Other Battery System)
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EOS Integrated Cleaning System
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Image Stabilization
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Shutter Sound
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Input/Output Interface (USB, HDMI, Microphone, etc.)
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Weather and Dust Resistance
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Shutter Durability
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Color Reproduction
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Other (Please specify):
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5. Is this your first digital SLR?
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Yes
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No, it's a replacement digital SLR for my previous digital SLR
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No, it's an additional digital SLR
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6. What other types of cameras did you mainly use before purchasing this camera? (Multiple answers are acceptable)
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None
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Digital SLR Camera
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Digital Point & Shoot Camera (Model Name):
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Film SLR Camera (Model Name):
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Medium Format Film Camera
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Digital Camera Back
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Other (Please specify):
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7. If you selected Digital SLR in Question 6, please select the specific model. (Multiple answers are acceptable)
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EOS Rebel T1i
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EOS Rebel XS
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EOS Rebel XSi
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EOS Rebel XTi
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EOS Rebel XT
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EOS 50D
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EOS 40D
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EOS 30D
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EOS 5D Mark II
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EOS 5D
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EOS 7D
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EOS-1D Mark III
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EOS-1Ds Mark III
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Other (Please specify):
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8. What other cameras did you consider before making this purchase? (Multiple answers are acceptable)
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Only considered this camera
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Another Digital SLR Camera (Model Name):
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Digital Point & Shoot Camera (Model Name):
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Film SLR Camera
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Medium Format Film Camera
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Other (Please specify):
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9. How would you classify yourself as a photographer?
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Novice: I am not sure why I got a bad shot
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Moderately Experienced: I can figure out why I got a bad shot, and make adjustments to the camera
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Advanced: I can express my creativity through photography without problems
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10. Will this camera be used to take still photos or to make movies/videos?
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Only Still Photos
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Mostly Still Photos
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Only Movies/Videos
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Mostly Movies/Videos
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Still Photos and Movies/Videos Equally
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11. Will this camera be primarily used for personal or business purposes?
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Personal
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Business
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Both
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12. If you are using this camera for business use, are you a
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Full-time (Pro Photographer)
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Part-time (Photography is a part of your main job, Stock Photography, Websites, etc.)
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13. If you are using this camera for business, is your company a
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Small Corporation (1-100 employees)
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Large Corporation (100+ employees)
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14. Which of the following best describes your industry/business application(s) if you chose business use? (Multiple answers up to 3 are acceptable)
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TV News
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Sports
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Newspaper/Wire Service
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Government/ Security
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Medical
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Wedding/Event/Portrait/Studio
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Photo Lab
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Freelance
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House of Worship
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Education (K-12)
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Education (Higher)
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Filmmaking
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TV Production
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Rental House
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Advertising (TV/Print/Online)
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Fashion
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Art
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Gallery/Museum
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Nature/Wildlife
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Industrial Design/Engineering/Architecture
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Other (Please specify):
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15. Please describe the primary application(s) of your camera if you chose personal use. (Multiple answers up to 3 are acceptable)
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Record Memories (My Child/Children/Family/Family Activities)
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Record Memories (Travel, Leisure or Events, etc.)
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Snapshots of Everyday Life
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Photography as a Hobby (Ex. Trains, Airplane, Gardening, Wildlife/Nature, etc.)
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Create Works of Art
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Take Website Photos (Ex. Personal Blog, Web Actions, etc.)
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Other (Please specify):
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16. How many Canon EF/EF-S lenses did you own before buying this camera other than the lenses you purchased along with this camera?
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None
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1
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2
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3
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4
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5
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6
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7-10
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11 or more
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17. Which lens did you purchase with the camera? (Multiple answers are acceptable)
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EF 16-35mm f/2.8L II USM
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EF 17-40mm f/4L USM
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EF 24-70mm f/2.8L USM
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EF 24-105mm f/4L IS USM
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EF 28-135mm f/3.5-5.6 IS USM
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EF 70-200mm f/2.8L IS USM
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EF 70-200mm f/2.8L USM
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EF 70-200mm f/4L IS USM
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EF 70-300mm f/4-5.6 IS USM
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EF 75-300mm f/4-5.6 III
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EF 24mm f/1.4L II USM
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EF 50mm f/1.2L USM
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EF 85mm f/1.2L II USM
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EF 100mm f/2.8L Macro IS USM
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EF 200mm f/2L IS USM
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EF 800mm f/5.6L IS USM
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Other Canon Lens (Please specify):
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Other lens manufactured by a 3rd party (Please specify):
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Did not purchase a lens at this time
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18. Which of the following accessory/accessories that are compatible with your camera did you purchase together with this model? (Multiple answers are acceptable.)
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Speedlite EX Flash (Please specify):
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Remote Switch
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Battery Grip
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Battery Pack
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AC Adapter Kit
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Wireless Controller (Please specify RC-1 or RC-5):
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Wireless File Transmitter
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Timer Remote Controller
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Wireless Remote Controller
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Interchangeable Focusing Screen
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Speedlite Transmitter
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HDMI Cable
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CF Card (Please specify Manufacturer and Capacity):
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SD Card (Please specify Manufacturer and Capacity):
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Gadget Bag
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Other (Please specify):
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Did not purchase accessories with the camera
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19. Please rate the following features and factors for this camera:
Camera Features
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Poor
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Below Average
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Fair
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Good
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Excellent
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Ease of Use
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Poor
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Below Average
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Fair
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Good
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Excellent
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Size
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Poor
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Below Average
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Fair
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Good
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Excellent
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Weight
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Poor
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Below Average
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Fair
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Good
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Excellent
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Style and Finish
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Poor
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Below Average
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Fair
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Good
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Excellent
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Image Quality
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Poor
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Below Average
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Fair
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Good
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Excellent
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Price
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Poor
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Below Average
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Fair
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Good
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Excellent
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User's Manual
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Poor
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Below Average
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Fair
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Good
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Excellent
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Overall Camera Evaluation
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Poor
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Below Average
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Fair
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Good
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Excellent
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20. Which printing method do you use for images captured using your camera? (Multiple answers are acceptable)
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Use personal printer through my computer
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Use personal printer with Direct Print by connecting camera to the printer
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Use personal printer with Direct Print by inserting Memory Card into the printer
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Camera Store/Mini-labs/Other type of stores
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Order through the Web (Internet)
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Do not make any prints
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21. Which brand of printer do you own, if any?
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Canon
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Epson
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HP
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Kodak
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Lexmark
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Dell
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None
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Other (Please specify):
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22. What Operating System are you using with your personal computer?
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Windows 7
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Windows 7 (64-bit version)
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Windows Vista
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Windows Vista (64-bit version)
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Windows XP
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Macintosh OS X 10.6
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Macintosh OS X 10.5
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Macintosh OS X 10.4
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Other Operating System (Please specify):
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23. In what ways are you satisfied with this camera? Please type them in the box below. (Up to 50 characters.)
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24. In what ways, if any, are you dissatisfied with this camera? Please type them in the box below. (Up to 50 characters.)
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25. What is your age group?
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18-24
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25-29
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30-34
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35-39
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40-44
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45-49
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50-54
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55-59
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60-64
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65-69
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70 or over
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26. Gender
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Male
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Female
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27. Marital Status
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Single
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Married
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28. Do you have any children under 13 years old?
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Yes
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No
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29. Occupation
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Professional Photographer
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Professional Videographer/Cinematographer
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Photo School Employee
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Film School Employee
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Other Professional/Technical
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Upper Management/Executive
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Middle Management
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Sales/Marketing
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Clerical/Service Worker
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Tradesman/Machine Operator/Laborer
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Self Employed/Business Owner
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Federal Employee
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Student
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Homemaker
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Retired
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Other (Please specify):
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30. Annual Family Income Range
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Under $15,000
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$15,000 - $19,999
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$20,000 - $29,999
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$30,000 - $39,999
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$40,000 - $49,999
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$50,000 - $59,999
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$60,000 - $74,999
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$75,000 - $99,999
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$100,000 - $124,999
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$125,000 - $149,999
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$150,000 - $174,999
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$175,000 - $199,999
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$200,000 - $249,999
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$250,000 & Over
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I do not wish to disclose this information
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*
The Consumer Imaging Group of Canon U.S.A., Inc. often updates the software and firmware for its products. Would you like to receive notice when these software and firmware updates are available for your product?
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Yes
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No
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On occasion, the Consumer Imaging Group of Canon U.S.A., Inc. may want to send you information about Canon products and promotions that might be of interest to you. Would you like to receive this information?
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Yes
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No
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