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Surveys
2005
September
S
Sample Survey
Sample Survey
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Favorite Drink...
Coke
Pepsi
Mountain Dew
Additional Comments/Suggestions for improvement
Overall how satisfied are you with [PRODUCT]?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
What are some things[product/Service] could do better?
In your opinion is the product better, about the same or worst than [OTHER_COMPANY] [PRODUCT] ?
Better
About the same
Worse
How often do you typically use the product per(DAY,Week,MONTH,ect.)?Please record nne number.
Daily
weekly
Less than monthly
Do not use
Where do you primarily use [PRODUCT]?
At home
At the office
Another location out side the house
Not using it
Other
How often are you using the [PRODUCT] as compared to a month a go?
More
About the same
Less
Can't say
Do you usually buy this [PRODUCT] on sale?
Yes
No
Doesn't matter
Do you typically read the back and side panel of the products package?
Yes
No
Not sure
How familiar are you with [PRODUCT]?
Very familiar (use on a regular basis)
Somewhat familiar (use it only sometimes)
Familiar but never used it
Never heard of product before
What other brands of [PRODUCT_CATEGORY] have you heard of?
Brand A
Brand B
Brand C
None
Other
What were reasons for trying this [PRODUCT]?
Looks good
Easy to use/convenient
Price Value
Solves Problem
Readily available
Best quality
Good selection
Just what I need
Advertising
Have not used
Other
How much did you pay for [PRODUCT]?
How do your friends respond to this product at parties?
answer yes or no
Would you recommend this product to others?
Please contact
[email protected]
if you have any questions regarding this survey.
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