    
                     BUDGET PLANNER 2.1 USER RESPONSE FORM
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   Please complete the following:
   
   Name (please print): ______________________________  
   Address:___________________________________________
   City:________________________  State:______________
   Zip Code:__________-_______  
   Telephone (     ) ______-_________

   Date you acquired Budget Planner 2.1: ____/____/____
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   1.  Your computer's make and model:_____________________________________
                                    
   2.  Your computer's processor:  
       |__| 80386SX    ____MHz       |__| 80486DX2   ____MHz 
       |__| 80386DX    ____MHz       |__| 80486DX4   ____MHz              
       |__| 80486SX    ____MHz       |__| Pentium    ____MHz      
       |__| 80486DX    ____MHz       |__| Other:____________   ____MHz
                                     |__| Don't know

   3.  Your computer's memory (RAM):______MB

   4.  Your computer's hard disk size:______MB

   5.  Your computer's monitor type:  |__| VGA
                                      |__| Super VGA
                                      |__| Other:_________________
                                      |__| Don't know

   7.  Your mouse type:  |__| Microsoft Mouse
                         |__| MS-Mouse Compatible
                         |__| Don't know

   6.  Your printer's make and model:______________________________________

   7.  Do you have a sound card?    |__| Yes   |__| No
   
   8.  Do you have a CD-ROM drive?  |__| Yes   |__| No

   9.  Are you running Budget Planner 2.1 from:  |__| DOS
                                                 |__| Windows
                                                 |__| OS/2
                                                 |__| Other:_______________
                                                 |__| Don't know

   10.  What improvements could be made to Budget Planner? ________________

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   11.  What additional features would you like to see in Budget Planner?

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   THANK YOU!
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  In order to serve you, the customer, better this information helps me to
  improve and add the features you need most in your applications.  Please 
  help me to make my applications the best they can be by completing this 
  questionnaire and mailing it to:

      Daniel M. Rose - Budget Planner 2.1 User Survey
      P.O. Box 328
      Heyburn, ID  83336-0328
      USA
