:: Glad South Africa ::

WELCOME TO OUR GLAD SURVEY

Step 1 of 4
Hello and welcome to GLAD's SA Customer survey. We thank you for your participation in advance and hope you enjoy completing our survey as much as we enjoyed putting it together. The survey will be used to better understand you, our valued customer and to improve our product offering so as to continue 'making life a little easier.' Your contact information below will primarily be used to post you your R50 worth of Glad vouchers and will not be sold or used in any way to intrude on your privacy. Should you have any queries at all please feel free to call us on 0861 452 372.
Firstly we'd like to know your date of birth:
	DD MM YYYY
1. Date of Birth	/ /
2. How many adults are there in your household (including you)
3. How many children at home?
4. Name:
5. Address 1:
6. Address 2:
7. City/Town
8. Postal Code:
9. Email Address:
10. Phone Number:
11. Gender:
12. Opt in:	Contact me regarding general Glad updates/news Contact me regarding Competitions Contact me regarding launches
13. How would you like to be contacted?	Email SMS Tel