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Which of the following stores do you typically visit two (2) or more times a month? (please select all that apply)
Target
CVS
Family Dollar
Kmart
Walmart
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How often do you make a shopping list before going to Dollar General? (select one)
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If you use coupons, where do you primarily get them from? (please select all that apply)
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Store websites (i.e. Dollargeneral.com)
Product / Brand websites (i.e. Dialsoap.com)
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Which promotion most appeals to you? (select one)
Buy $30 of household products get $10 off coupon
Buy $20 of household products get $5 off coupon
Buy $15 of household products get $3 off coupon
Buy $10 of household products get $2 off coupon

Do you own a Smartphone such as iPhone, Droid, or BlackBerry? (select one)
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Are you male or female?
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Henkel Opt-In: YES, I would like to receive email updates and coupon offers from the Henkel Corporation including Purex®, Dial®, Right Guard®, Renuzit®, Soft Scrub® and Soft&Dri® products. I understand that I am not required to receive email updates and coupon offers from the Henkel Corporation in order to enter the computer sweepstakes. We promise not to sell, rent or distribute your information. By providing your email address you are opting-in to receive email from our company, and you may ask to stop receiving emails from us at any time.

Dollar General Opt-In: I would like to join the Dollar General® Savings Zone and receive future emails notifying me of exclusive Dollar General® offers, in-store specials, budget-stretching recipes and bright ideas to save me money and time. I understand that I am not required to join the Dollar General® Savings Zone in order to enter the computer sweepstakes. Click here for Dollar General's Privacy Policy.


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