Enter to Win an Easy Care First Aid Kit

Our Easy Care First Aid Kit is perfect for your home, car, RV or boat!

We will select a new winner every month thru December 31. Fill out survey/entry form - it should take about 2 minutes - and you will be eligible for each month's drawing.

1. In what state/province do you live?

2. Are you ...

Male   Female

3. Do you have children in the household?

No   Yes    How many?    What are their ages?

4. What is your household income?

$20K - 29K
$30K - 39K
$40K - 49K
$50K - 59K
$60K - 69K
$70K and above

5. Which activities do you participate in? (Check all that apply)

Day Hiking
Canoeing
Mountain Biking
Snowmobiling/ATV
Hunting/Fishing
RV/Car Camping

6. Which activities do your children (if applicable) participate in? (Check all that apply)

Soccer
Baseball
Scouts
Summer Camp
Horseback Riding
Biking

7. Rate the importance of the following items in buying a first aid kit.

Weight
Important   Somewhat important   Not Important
Size
Important   Somewhat important   Not Important
Waterproof
Important   Somewhat important   Not Important
Organized
Important   Somewhat important   Not Important
Quality of Components
Important   Somewhat important   Not Important
Price
Important   Somewhat important   Not Important
Brand Name
Important   Somewhat important   Not Important
Piece Count (# of Components)
Important   Somewhat important   Not Important
Designed by a Doctor
Important   Somewhat important   Not Important
First Aid Instructions
Important   Somewhat important   Not Important

8. I would feel better buying a first aid kit with:

Name brand medications(Tylenol, Motrin, etc.)
Generic medications(acetaminophen, ibuprofen, etc.)

9. I would rather buy a first aid kit:

Without medications (I prefer to add my own)
With medications

10. Do you own a store-bought first aid kit?

Yes
No

11. If you bought a first aid kit, how much did it cost?

under $10
$10 - $19
$20 - $29
$30 or more

12. Have you built your own first aid kit?

Yes
No

13. I am thinking of purchasing a first aid kit for:

Myself
Spouse
Friend
Relative
Organization (company, scouts, school, etc.)

14. I keep a separate first aid kit for my (Check all that apply):

Car
Home
Outdoor Gear

To enter to win, please provide the following information.
Thank you for your time.

Name:

Address:

City:    State/Prov:     Zip/Postal Code: 

Telephone:

Email*:

*Please check this box:

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