Whirlpool Washing Machine Product Tester Submission Form

This is a quick survey to have the chance to test and review new Whirlpool washing machine products, please answer as honestly as possible. Each tester will be required to test a product. The information gathered is needed solely for testing products by Whirlpool. Data collected will be kept private and confidential and will not be passed onto any third parties for marketing purposes.

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

Gender

Age Range

Number of children

Occupation

Do you currently own a Whirlpool appliance if so please indicate which:

What type of kitchen do you own?

Would you recommend Whirlpool to a friend or relative?

Describe in 3 words what the Whirlpool brand means to you:

Please take a picture of your current appliance and upload it. If for example you would like to test a washing machine please photograph your current washing machine.

Upload Image

Upload a File

On a scale 1-10, How important are the features below when considering buying a new appliance?

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Design
Build Quality
Features
Noise
Cycle times
Capacity
Energy Rating
Colour
Value for Money

On a scale of 1 - 10, How important are the following in your day to day life?

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Technology & Gadgets
Sport
Arts & Literature
Fashion
Entertainment
Travel
Food & Drink