What publication do you always read?					Please choose. Industry newspaper (Trade Paper) A city newspaper (Metropolitan Newspaper) A local newspaper (Local Paper) A motorbike-related magazine News Letter Other Publications Seldom read
	What is the name of publication?
	What event and show do you usually participate?					Please choose. The nationwide convention Local trade show The local community event Others Neither exhibition nor participation
	What group or organization are you belonging to?					Please choose. Local commerce-and-industry organization Community organization Business study circle Harley Davidson Fans Circle Other groups Not belonging to anything
	What makes you react?					Please choose. DM (Direct Mail) Direct visit A newspaper flier The flier in a street Information by word-of-mouth Invitation by telephone Others
	How did you know our company?					Please choose. Community magazine Flier Word-of-Mouth (a friend, acquaintance) Internet (Search Engine) The ad. at Newspaper or a Magazine Accidental by chance Direct Mail or Facsimile Others
	What is the media name in case of advertisement?
	Who is the referral?
	What was the "keyword" in the search engine?
	What part do you count on our company?					Please choose. Improvement in service Reliability Quality in Service Others
	Those who had chosen "others", please tell us what it is.
	What is the problem or torublesome that you have now.
	If you have any comments, please tell us.
	Example: Overseas procurement by the Internet
	The following is the questions about yourself.
	Where is your company located?					Hokkaido Aomori Prefecture Iwate Prefecture Miyagi Prefecture Akita Prefecture Yamagata Prefecture Fukushima Prefecture Ibaragi Prefecture Tochigi Prefecture Gumma Prefecture Saitama Prefecture Chiba Prefecture Tokyo Kanagawa Prefecture Yamanashi Prefecture Shizuoka Prefecture Nagano Prefecture Niigata Prefecture Toyama Prefecture Ishikawa Prefecture Fukui Prefecture Gifu Prefecture Aichi Prefecture Mie Prefecture Shiga Prefecture Kyoto Osaka Hyogo Prefecture Nara Prefecture Wakayama Prefecture Tottori Prefecture Shimane Prefecture Okayama Prefecture Hiroshima Prefecture Yamaguchi Prefecture Tokushima Prefecture Kagawa Prefecture Ehime Prefecture Kochi Prefecture Fukuoka Prefecture Saga Prefecture Nagasaki Prefecture Kumamoto Prefecture Oita Prefecture Miyazaki Prefecture Kagoshima Prefecture Okinawa Prefecture Overseas Please choose.
	Your company's Name (option)
	What is your posion?					Please choose. President or Owner Officer Sales Accounting Administrative Custom-Bike (Repair) Others
	Generic					Male	Female
	Year Age					Please choose. 20's His 30's 40's 50's 60's and Up
	What is your interested field?					Please choose. Harley Davidson Genuine Parts Harley Davidson used motorcycles Custom-Bike Your US Liason Office Others
	What is it? (Person who chose "others")
	What field are you interested other than custom-part?
	Can we send you the "News Letter" in the future.					YES	NO
	Your E-mail Address that we can send you the "News Letter"
	Your Name (option)
	Date answered (mm/dd/yy)
Thank you very much for you cooperation and we take care of you precious opinions seriously.