姓名 Name:     
性別 Sex:   Male Female

出生日期 Date of Birth:     ( Day 日 / Month 月 / Year 年)

教育程度 Education Level:
小學 Primary 中學 Secondary 預科 Matriculation
大學/專科 University 碩士或以上 Master Degree or above
其他 Others
職業 Occupation:
學生 Student 服務業 Customer Service 金融業 Finance
商業 Business
其他 Others   
 
聯絡電話 Contact No.:  
手提電話 Mobile No.:  
住址 Address:  

購買手錶型號(必填) The Model No. of your purchased watch (must fill in):     (範例 example﹕IF5-022-30)
錶殼底部編碼(必填) Watch Case Back No. (must fill in):     (範例 example﹕GD00-S123456)
是否為第一次購買﹖(必填) Is this your first time to purchase Vagary watch? (must fill in):
Yes No
此次購買手錶的用途(必填) Purpose to purchase Vagary watch (must fill in):
自用 For Self Usage 送禮 Gift for Others 收藏 For Collection
此次您購買的考慮因素(必填﹐可複選3項) Reason(s) for purchasing Vagary watch (must fill in, can select up to 3 reasons):
耐用性(耐摔/防水) Durability (Hardness/Water Resistant) 價格 Price 造型設計 Design
品牌知名度/口碑 Brand Awareness/Reputation 色彩豐富 Colorful 代言人 Image Girl
具有收藏/紀念價值 Have Commemorable Value 包裝精美 Packaging 廣告吸引力 Advertisement
手錶的重量﹑大小 Weight & Size of the Watch 獨特性 Uniqueness 有附送贈品 Promotional Gift
錶面數字容易辨識 Easy Identified Index 材料質感 Material 保固與售後服務 After-Sales Service
功能(兩地時間) Function (Dual Time)
其他 Others    
您如何取得Vagary的資訊﹖(必填﹐可複選3項) Channel(s) you received information about Vagary? (can select up to 3 channels):
報紙 Newspaper 店舖陳設 Shop Display 電視 TV
雜誌 Magazine
朋友介紹 Friends Recommendation
店員推薦 Salespersons Recommendation
互聯網 Internet 戶外廣告 Outdoor Advertising
其他 Others
除了Vagary手錶之外﹐您還考慮哪些品牌的手錶﹖(必填﹐可複選3項)
Apart from Vagary watch, which brand will you consider to purchase? (must fill in, can select up to 3 brands):
ALBA CASIO CITIZEN CK DIESEL
DKNY FOSSIL SEIKO SWATCH WIRED
    其他  Others     
是否考慮再次購買本品牌? (必填): Will you consider to purchase Vagary watch again? (must fill in)
Yes No
不一定﹐原因: Uncertainty, reason:
驗證碼 Identification Code