COMPUTER USER RESPONSE FORM
=============================================================================
USER INFORMATION  Please complete the following:

Name (please print): _____________________________________________________
Address:             _____________________________________________________
City: _____________________________  State/Province: _____________________
Zip/Postal Code: __________________  Telephone: __________________________

E-mail address: __________________________________________________________
WWW URL: _________________________________________________________________
-----------------------------------------------------------------------------
SYSTEM INFORMATION:

System Brand: ___________________________________  Model: _________________
Processor Type: _________________________________  Speed: ______________MHz
Hard Drive Brand: _______________________________  Size: ________________MB
Graphics card: __________________________________  Memory: ______________MB
Sound card: _____________________________________  Memory: ______________MB
CD-ROM: _________________________________________  Speed: ________________x
Monitor Brand: __________________________________  SVGA _______ VGA _______ 
Printer Brand & Model: __________________________  Memory: ______________MB
Pointing Device: Mouse ______ Trackball ______ Touchpad ______ Other ______
Operating Environment: Windows-32 ____ Windows-16 ____ OS/2 ____ Other ____
-----------------------------------------------------------------------------
PROGRAM INFORMATION:

Program Title:_______________________________________  Version:_____________

Would you recommend this software to a friend or associate?  Yes ___  No ___

If no, why not? ____________________________________________________________
                ____________________________________________________________
                ____________________________________________________________

What improvements would you like to see in this software? ___________________
                _____________________________________________________________
                _____________________________________________________________

What extra features do you feel would improve this program? _________________
                _____________________________________________________________
                _____________________________________________________________

THANK YOU!
=============================================================================
In order to serve you better this information helps me to improve my software
to better meet your needs.  Please help me to make my software the best it
can be by completing this questionnaire and mailing it to:

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