Questionnaire

Knowing your needs, your paddling ability, and the main use of the canoe, we can provide assistance and advice in the selection of your craft. Simply fill out and submit the following questionnaire.

Some information about you...

* = Required fields

*	Title:	Mr.     Mrs.
*	First Name:
*	Last Name:
	Address (street):
	City / Town:
	State / Province:
	Zip / Postal Code:
	Country:
	Day Phone:
	Evening Phone:
	Fax:
*	Email Address:
*	Your age?	Adolescent 18-30 years 31-45 years 46-60 years 61 years and up
	Your level of education?	High School Bachelor Degree Master Degree Doctorate Life's Experience

---

Your Canoe Experience

*	What best describes your canoeing ability?	None Novice Moderate Experienced Expert (whitewater)
*	How familiar are you with the wood strip/epoxy method?	Not at all I've read about it I saw one I discussed it with someone who built one
*	How would you use your canoe? (choose as many as you want)	Pleasure Paddling Solo Paddling Two Paddlers:       Quiet Lake       Quiet River       Canoe camping and tripping       River running and tripping       Whitewater
*	What length canoe or kayak would best meet your requiremens or nees?	12-14 feet (3.7 - 4.3 m) 14-16 feet (4.3 - 4.9 m) 16-18 feet (4.9 - 5.5 m) 18-20 feet (5.5 - 6.1 m) 20 feet and over (6.1 m) Don't Know
*	What is your weight?	Less than 150 pounds (68 kg) 150-180 pounds (68 - 82 kg) 180-200 pounds (82 - 91 kg) Over 200 pounds (91 kg)
*	If you are usually two (2) paddlers, what is the weight of your partner?	Less than 150 pounds (68 kg) 150-180 pounds (68 - 82 kg) 180-200 pounds (82 - 91 kg) Over 200 pounds (91 kg) I never ride with someone else

---

Rate our Site

*	Where did you access our web site?	At word At home At school Other location
	How would you describe or rate our site?	[PLEASE CHOOSE] Somewhat informative Quite interesting Very appreciated A reference
	Would you recommend this site to someone else?	Yes      No
	To send an e-mail about this site to one or several friends, enter their e-mail addresses (separated by commas):
	Other Comments would be greatly appreciated:

For security reasons, please enter the 4 caracters displayed below*

Can't read the image? Click here to generate a new one.