1. rue21 would like to know more about you. Please provide the following information about yourself. Name*
Age*
Address*
Zip Code*
Email Address
Cell Phone Number

2. Gender. * Select... Male Female

3. Ethnicity. * Select... Caucasian African American Hispanic Asian Other I would prefer to not disclose that information.

4. How often do you visit rue21.com? * Select... 4 or more times a week 2-3 times per week Once a week 1-2 times per month A few times a year First time visitor

5. Which pages do you view the most when you go to rue21.com? (Please select ALL of the answers that apply.) * Product Pages (Example: Tops, Bottoms)Gift Cards
Fragrance and/or Cologne PagesMy Wish List
Trends (Girls or Guys)The Metro
New Arrivals
Others

6. How would you rate the product assortment for the following items on rue21.com: (Please rate ALL of the following.)

7. Are you signed up to receive rue21 emails? * Select... Yes No

8. Would you like to receive emails from rue21? * Select... Yes No

9. How often do you visit rue21's MySpace page? * Select... 4 or more times a week 2-3 times a week Once a week 1-2 times a month A few times a year Never

10. How often do you visit rue21's Facebook page? * Select... 4 or more times a week 2-3 times a week Once a week 1-2 times a month A few times a year Never

11. How often do you shop online at other retailers? * Select... 4 or more times a week 2-3 times a week Once a week 1-2 times a month A few times a year Never

12. What retailers do you most shop at online? (Please select ALL of the answers that apply.) * Abercrombie & FitchHot Topic
AeropostaleKohl's
American EagleMarshalls
BuckleOld Navy
Charlotte RussePac Sun
Forever21T.J. Maxx
GapUrban Outfitters
H & MWet Seal
HollisterNot Applicable
Others (please list all other retailers that you love to shop)

13. How often do you purchase merchandise at a rue21 store location? * Select... 4 or more times a week 2-3 times a week Once a week 1-2 times a month A few times a year Never

14. If shopping at a rue21 store location, how often do you enjoy your shopping experience? * Select... Always Most of the Time Occasionally Hardly Ever Never Not Applicable
Please write comments in text box below.

15. What do you typically shop for at a rue21 store location? (Please select ALL of the answers that apply.) * Fashion TopsShoes
Graphic TeesJewelry
DressesHandbags
HoodiesAccessories (Example: Belts, Hats, Scarves)
Denim JeansBeauty Products (Example: Lip Gloss, Nail Polish)
SkirtsBras
ShortsUndies
Pants (Excluding Denim Jeans)Jackets
Fragrance and/or CologneSleepwear
Other (please specify)

16. Are you familiar with the etc! brand at rue21? * Select... Yes No

17. Are you familiar with the CARBON brand at rue21? * Select... Yes No

18. On average, how much do you spend per month on clothing and accessories? * Select... $0-$25 $26-$50 $51-$75 $76-$100 $101-$125 $126-$150 $150+

19. How would you rate rue21 in the following categories: (Please rate ALL of the following.)

20. When you shop at a rue21 store location, who do you purchase merchandise for? (Please select ALL of the answers that apply.) * MyselfMy Boyfriend
My FriendsMy Girlfriend
My Family
Others (please list all other people whom you purchase merchandise for)

21. What magazine(s) do you read most often? (Click all that apply) * AllureVogue
CosmopolitanCar and Driver
ElleESPN The Magazine
Entertainment WeeklyMaxim
GlamourMen’s Fitness
InStyleGQ Esquire
PeopleDetails
SeventeenPopular Mechanics
Teen VogueRolling Stone
US WeeklySports Illustrated
Twist Magazine
Other (please specify)

22. What type of music do you most often listen to? * Select... Alternative Rock Classic Rock Country Emo Hip Hop Metal Pop Punk Rap R&B Soft Rock Techno
Other (please specify)