At Moosehead, we’re into understanding what you’re into, because your insights help us develop unique programs for beer fans like you. So sit back with a cold beer and complete this survey

First Name:* Last Name:* Address:* City:* Province:* Select a Province AB BC MB NB NL NT NS NU ON PE QC SK YT Postal Code:* Email Address:* Home Phone Number:*
SMS Text Message Enabled Phone Number:* When Were You Born:* Language Preferance:*

English

French

Gender:*

Male

Female

What brand of beer do you drink most often? *
(Be honest) Select one Alpine Alpine Light Alpine Summit Alpine Max Clancy Moosehead Dry Ice Moosehead Lager Moosehead Light Moose Light Lime Moosehead Pale Ale Moosehead Premium Dry Becks Big Rock Brick Bud Light Budwiser Cracked Canoe Carlsberg Cold Filtered Light Coors Light Corona Creemore Guinness Heineken James Ready 5.5 James Ready Original Ale James Ready Light Keith's Kokanee Labatt Blue Labatt Light Lakeport Lucky Lager Miller Genuine Draft Molson Canadian Rickard's Red Sleeman Stella Artois Other Name two other brands that you drink occasionally Select one Alpine Alpine Light Alpine Summit Alpine Max Clancy Moosehead Dry Ice Moosehead Lager Moosehead Light Moose Light Lime Moosehead Pale Ale Moosehead Premium Dry Becks Big Rock Brick Bud Light Budwiser Cracked Canoe Carlsberg Cold Filtered Light Coors Light Corona Creemore Guinness Heineken James Ready 5.5 James Ready Original Ale James Ready Light Keith's Kokanee Labatt Blue Labatt Light Lakeport Lucky Lager Miller Genuine Draft Molson Canadian Rickard's Red Sleeman Stella Artois Other Select one Alpine Alpine Light Alpine Summit Alpine Max Clancy Moosehead Dry Ice Moosehead Lager Moosehead Light Moose Light Lime Moosehead Pale Ale Moosehead Premium Dry Becks Big Rock Brick Bud Light Budwiser Cracked Canoe Carlsberg Cold Filtered Light Coors Light Corona Creemore Guinness Heineken James Ready 5.5 James Ready Original Ale James Ready Light Keith's Kokanee Labatt Blue Labatt Light Lakeport Lucky Lager Miller Genuine Draft Molson Canadian Rickard's Red Sleeman Stella Artois Other Please tell us what other alcoholic beverages(s)
you drink?

Wine:

glasses/week

Liquor:

glasses/week

Coolers:

glasses/week

How many beers do you usually drink a week? Select one 0 1-6 7-12 13-24 25+ Of the last 36 beers you have drank at home, approximately how many were the beer you drink most often? Select one 0-6 7-12 13-18 19-24 25-30 31-36
Check your top 3 favourite activities:
Participating in or Watching:

Hockey

Baseball

Snowboarding/Skiing

Golfing

Hunting

Fishing

Snowmobiling

Curling

Soccer

Auto Racing

Football

Video Games

Fitness

Basketball

Home Improvements

Listening to music:

Pop/Rock

Jazz/Blues

Country

Urban/Hip-hop

Reading:

Books

Magazines

Newspaper

Please enter the Moosehead Lager UPC code from the top of your beer case or on the side of your can.
ex. 7 7600000133 3 * Please check here if you would prefer that we not communicate with you in the future. See our privacy statement below.
Moosehead's Privacy Statement
The information you share with us helps us to understand your needs and preferences. That way, we can serve you even better in the future. We appreciate your privacy and guarantee that what you tell us remains between us. We'll make sure that the information you give us is confidential and will only be used with your permission by Moosehead Breweries Limited. Please submit only once.
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