USER QUESTIONNAIRE   We value your input and ask that after you have used our site for your search or listing purposes to please complete the following information. Feedback from our users is very helpful. As a thank you for your time to provide this feedback to us, we will enter your name in our next $1,000.00 drawing. Thank you for using KeepItLocal.com.

NOTE: Marked fields are required to complete this request for information.

1. First Name *

2. Last Name *

3. Address *

4. City *

5. State *

6. Zip Code *

7. Birth Year *

8. Gender *      Male Female

9. Phone

10. Email Address *

11. Searched *      Autos   Power Sports

12. Interested *      New   Used

13. Did you call a seller? *        Yes No    How many sellers did you contact?   1 2 3 4 5 6 7 8 9 10

14. Did you Email a seller? *        Yes No    How many sellers did you contact?   1 2 3 4 5 6 7 8 9 10

15. Where did you place a listing on our site? *       Autos   Power Sports   None

16. If you spoke to a dealer, were you satisfied with their handling of your inquiry? *      Yes   No         Details you would like to share

17. Did you make a purchase? *      Yes  No      Date of purchase            Seller Name            Year           Make     Model

18. Suggestions, if any, to enhance the user experience on our website? *

19. How did you learn about KeepItLocal.com? *

20. Would you recommend this site to others? *      Yes   No         Why?

Note: Must be 18 years old to participate. Only 1 entry per household eligible per drawing. KeepItLocal.com may contact registrants in the future. Giveaway subject to termination at the discretion of KeepItLocal.com.