Take the Femail Creations Survey!

We aim to please!

Fill out our survey and we will automatically enter you in our monthly drawing for FREE MERCHANDISE!

Each month we give away $100 worth of cool stuff to a lucky person just for telling us what you think.

Name   (not the names people call you, your actual name)

First

Last

Address   (you know, where do we send the free stuff?)

Line 1

Line 2

City

State / Province
-- Select -- International Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming APO (AA, AE, AP) FPO (AA, AE, AP) Guam American Samoa

Zip Code

Country
-- Select -- United States Canada Andorra United Arab Emirates Afghanistan Antigua and Barbuda Anguilla Albania Armenia Netherlands Antilles Angola Argentina Austria Australia Aruba Azerbaijan Barbados Bangladesh Belgium Burkina Faso Bulgaria Bahrain Burundi Benin Bermuda Brunei Darussalam Bolivia Brazil Bahamas Bhutan Botswana Belarus Belize Central African Republic Congo Switzerland Chile Cameroon China Colombia Costa Rica Cape Verde Cyprus Czech Republic Germany Djibouti Denmark Dominica Dominican Republic Algeria Ecuador Estonia Egypt Ireland (Eire) Eritrea Spain Ethiopia Finland Fiji Faroe Islands France (Includes Monaco) Gabon Grenada Georgia French Guiana Ghana Gibraltar Greenland Gambia Guinea Guadeloupe Equatorial Guinea Greece Guatemala Guinea-Bissau Guyana Hong Kong Honduras Haiti Hungary Indonesia Israel India Iran Iceland Italy Jamaica Jordan Japan Kenya Kiribati Comoros South Korea Kuwait Cayman Islands Kazakhstan Laos Lebanon Liechtenstein Sri Lanka Lesotho Lithuania Luxembourg Libya Morocco Madagascar Macedonia Mali Martinique Mauritania Montserrat Malta Mauritius Maldives Malawi Mexico Mozambique Namibia New Caledonia Niger Nigeria Nicaragua Netherlands Norway Nepal Nauru New Zealand Oman Panama Papua New Guinea Philippines Pakistan Poland St. Pierre and Miquelon Portugal Paraguay Reunion Rwanda Saudi Arabia Solomon Islands Seychelles Sudan Sweden Singapore St. Helena Slovenia Slovak Republic Sierra Leone Senegal Suriname Sao Tome and Principe El Salvador Swaziland Turks and Caicos Islands Chad Togo Thailand Tunisia Tonga Turkey Trinidad and Tobago Tuvalu Taiwan Tanzania Ukraine Uganda United Kingdom Uruguay Venezuela Vanuatu Azores Bosnia-Herzegovina British Virgin Islands Burma Corsica Cote d` Ivoire (Ivory Coast) Croatia French Polynesia (Tahiti) Macao Madeira Islands Pitcairn Island St. Christopher and Nevis St. Lucia St. Vincent and the Grenadines Serbia-Montenegro Syrian Arab Republic Tristan da Cunha Vatican City Vietnam Wallis and Furuna Islands Western Samoa Yemen South Africa Zambia Zaire Zimbabwe

Email Address (for you slick high-tech folks)

Do you currently receive our catalog?

Do you currently receive Girl Talk, our email newsletter?

Age  (celebrate every year and fess up)

Gender   (if you're not sure just ask your friends)
Female Male

What field do you work in?   (rocket scientist, mother, student...)

Annual Household Income   (not what you wish you were paid)
-- Select -- $0 - $20,000 $20,001 - $40,000 $40,001 - $60,000 $60,001 - $100,000 $100,001 - $150,000 $151,001 - $200,000 Above $200,001

Do you have any children?   (you know, small, lots of work & joy)
Yes No

If so, how many, and in what age group?

Girls		Boys
	1 - 5		1 - 5
	6 - 12		6 - 12
	13 - 18		13 - 18
	Flew the nest		Flew the nest
	18+ still in the nest		18+ still in the nest

Do you have any pets?  (the ones you love enough to shop for)
Yes No

What item would you like to see us add to our next catalog?
(try us, we just might surprise you!)

Any comments or suggestions?
(tell us what you like and don't like - go ahead, we can take it...
in fact, we may just quote you in an upcoming issue of the catalog!)