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Knomi Kado Shopping Survey
1
Email
*
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Receives tracking number & invoice
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2
Name
*
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First Name
Last Name
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3
Shipping Address
*
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Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Age
*
This field is required.
Please Select
21-29
30-39
40-49
50-59
60+
Prefer to not answer
Please Select
Please Select
21-29
30-39
40-49
50-59
60+
Prefer to not answer
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5
Relationship Status
*
This field is required.
Please Select
Single
Dating
Married
Separated / Divorced
Widower
Please Select
Please Select
Single
Dating
Married
Separated / Divorced
Widower
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6
What's the Occasion
*
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Please Select
Birthday
Father's Day
Just Because
Mother's Day
Promotion
Self-Care
Valentine's Day
Winter Holiday
Other
Please Select
Please Select
Birthday
Father's Day
Just Because
Mother's Day
Promotion
Self-Care
Valentine's Day
Winter Holiday
Other
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7
Select up to 4 Categories
*
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Books & Stationery
Home Décor
Fitness
Travel
Skin & Beauty
One Size Fits All Accessories
Office Décor
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8
Based on your selection, please list any applicable allergies, phobias or sensitivities
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9
What are some gifts you'd love for our team to purchase?
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10
How would you describe your personal style?
E.g gothic, chic, bohemian, casual, streetwear, preppy
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11
If you selected 'office/home décor', how would you describe your current décor?
E.g rustic, contemporary, neutral tones, leather furniture
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12
What's your shoe size?
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13
Which scents? (Select all that apply)
Floral / Sweet
Fresh / Clean Linen
Light Citrus / Fruity
Earthy / Woodsy
Smoky / Tobacco
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14
Do you consume alcohol?
Please Select
But of course
Wine Only
Social Drinker Only
No, I don't
Yes, but I don't want any related gifts (eg glasses, decanters, stirrers, etc)
Please Select
Please Select
But of course
Wine Only
Social Drinker Only
No, I don't
Yes, but I don't want any related gifts (eg glasses, decanters, stirrers, etc)
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15
If you selected 'books & stationery', which book genres? (Select all that apply)
Action & Adventure
Biographies / Memoirs
Cookbooks
Detective / Mystery
Fantasy
Historical Fiction
Money / Business
Nonfiction
Religious / Spiritual
Romance
Science Fiction
Self-Help
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16
Fill in the blank: Please don't send me ____
*
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17
This or That
Beach
Mountains
Amusement Park
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18
This or That
Coffe
Tea
Smoothie
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19
This or That
Extrovert
Introvert
50/50
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20
Share a few of your favorite stores and brands
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21
List any hobbies / interests
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22
List any favorite colors
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23
Add any additional information you think we should know
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24
Are your preferences hard to describe? Would sending pictures make your life easier? Well, here's your chance. Problems? Email them to Amari@KnomiKado.com
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Knomi Kado will NOT utilize your images for any other purpose outside of data collection. They won't be shared, sold, or posted.
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25
Purchase Your Gift Package
*
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My Bag
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Great Product Name
$20
Quantity:
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Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
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Size:
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ORDER SUMMARY
Tax
USD
Shipping
USD
Subtotal
USD
Total cost
USD
Delight Package
You love the idea of receiving a quality surprise gift, but you’re also a budget shopper. Customers receive items from 2-3 categories, minimum 5 items guaranteed, and shipping is $12.00.
$
150
+
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Indulge Package
Every once in a while you like to indulge, and today, you’re choosing to purchase a one-of-a-kind surprise gift. Customers receive items from our second highest tier of brands for up to 3 categories, guaranteed 7 items, plus, free shipping. Use code: FREESHIP
$
200
+
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Splurge Package
You spoil yourself and those closest to you. You love just because gifts since they make everything better. Since you've decided to splurge, you can enjoy free shipping, items from up to 4 categories, and gifts from a top selection of brands. Use code: FREESHIP
$
250
+
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26
You acknowledge Knomi Kado is a gifting service and not a retailer, so it takes time to curate each gift box to ensure our customers are satisfied. Due to this, expect a fulfillment time of 4-7 days once payment is received. Initial below to accept our terms.
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27
Invoice ID
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Should be Empty:
Knomi Kado Shopping Survey
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