COMPUTER USER RESPONSE FORM
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USER INFORMATION  Please complete the following:

Name (please print): ________________________________________________________
Address:_____________________________________________________________________
City:_______________________________  State/Province:________________________
Zip/Postal Code:____________________  Telephone:_____________________________

E-mail address:______________________________________________________________
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SYSTEM INFORMATION:

Make and model:_____________________  RAM:___MB  Hard disk:____ |_| MB |_| GB

Processor: |_| __86 ____MHz  |_| Pentium __________  ____MHz

Graphics card:___________________ DRAM: ____MB  VRAM: ____MB

Sound card:_____________________  |_| 32-bit |_| 16-bit |_| Other |_| None

CD-ROM:_________________________  |_| 4x |_| 6x |_| 8x |_| Other ___x

Monitor:________________________  |_| SVGA |_| VGA |_| Other:_____

Printer:_____________________________  Model:_________________________

Pointing Device: |_| Mouse  |_| Trackball  |_| Other:_________________

Operating Environment: |_| Windows 95 |_| OS/2 |_| DOS/Win 3.xx |_| Other ___

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PROGRAM INFORMATION:

Program Title:________________________________________  Version:_____________

Would you recommend this program to a friend or associate?  |__| Yes  |__| No

If no, why not? _____________________________________________________________
                _____________________________________________________________
                _____________________________________________________________

What improvements would you like to see in this program? ____________________
                _____________________________________________________________
                _____________________________________________________________

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

THANK YOU!
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 In order to serve you 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 - User Survey
   P.O. Box 328
   Heyburn, ID  83336-0328
   USA