Some information about you:

First name:
Surname:
email address:	*
Country:	AlbaniaAlgeriaAmerican SamoaAndorraAnguillaAntigua BarbudaArgentinaArubaAustraliaAustriaAzoresBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBoliviaBonaireBosniaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape Verde IslandsCayman IslandsCentral African RepublicChadChannel IslandsChileChinaColombiaCongoCook IslandsCosta RicaCroatiaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEdragalEgyptEl SalvadorEnglandEquitorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFederated States of MicronesiaFeithamiFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHollandHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosraeKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMadeiraMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMexicoMoldovaMonacoMontserratMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorfolk IslandNorthern IrelandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPonapePortugalPuerto RicoQatarRepublic of IrelandRepublic of YemenReunionRomaniaRotaRussiaRwandaSabaSaipanSaudi ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSouth KoreaSpainSri LankaSt. BarthelemySt. ChristopherSt. CroixSt. EustatiusSt. JohnSt. Kitts NevisSt. LuciaSt. MaartenSt. MartinSt. ThomasSt. Vincent the GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTahitiTaiwanTajikistanTanzaniaThailandTinianTogoTongaTortolaTrinidad TobagoTrukTunisiaTurkeyTurks Caicos IslandsTuvaluUgandaUkraineUnion IslandUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Virgin IslandsUzbekistanVanuatuVenezuelaVietnamVirgin GordaWake IslandWalesWallis Futuna IslandsWestern SamoaYapYugoslaviaZaireZambiaZimbabwe
Number of children:	expecting 0 1 2 3 4 5 6+
Age of eldest child:	N/A O to 12 mnths 1-2 years 2-3 years 3-4 years 4-5 years 5-6 years 6-7 years 7-8 years 8-9 years 10+ years

Are you interested in shopping using the Internet?

Please Select! Not interested Interested Very interested   Why?  

Hours per week currently spent on line:  0 1-5 6-10 10-15 15 +

Please tick the items below which apply to you:

I have shopped on the Internet before
I regularly (at least once a month) make purchases using the Internet
I am always looking for different items to purchase online
I will be purchasing via the internet in the future
I prefer where ever possible to buy Australian products
I prefer where ever possible to buy environmentally friendly products
Convenience is the main reason I shop online

Please select the option which best describes your responses to the following:

I would prefer to make payments using:	Please Select! visa mastercard bankcard amex diners cheque money order
I expect products to be delivered:	Please Select! In less than 3 days Between 3 to 7 days Between 8 to 10 days Between 11 to 14 days
When I shop I like to search first by using:	Please Select! category price product name
The key reason for purchasing a specific product online is:	Please Select! quality convenience price choice
For a wooden toy I am comfortable to pay up to:	Please Select! $10 $15 $25 $35 $50 Up to $100
When I buy a product online rather than at the shop I expect the price to be:	Please Select! lower about the same more expensive
The main thing that would stop me purchasing products online is:

Please select which products below you think you would purchase online: 

Wooden Toys
A comprehensive range of educational wooden toys
Cancer Foundation Products
Includes swim wear, hats, sunglasses, and sun creams.
Health food products
Complete range of health foods, toiletries, cosmetics, organic products
Safety products
This includes a complete range of safety products for small children.
Books
Complete range of books for adults and children
Nappies
A range of cost effective non-disposable nappies that actually work.
Any other products you would like to be able to buy online ?

Now your chance to really have your say:               

1. Which sites do you buy from now and why do you buy from them?

2. What would encourage you to come back to a site to shop regularly

3. Any additional feedback, comments or ideas: