1. Surveys
  2. 2013
  3. May
  4. A
  5. All question type
0%
Exit Survey
 
 
Comments/Suggestions:
   
 
 
 
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 strictly 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.

 
 
 
 
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How long have you been at your current residence?
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
Please allocate 100 points on how you spend your income:
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
Please rate the following:
Books
Movies
Music
 
 
Please enter the following
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
* Phone : 
* Email Address : 
 
 
hey
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
12345N/A12345N/A
Customer Service
On-Time Arrival
Product Packaging
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
Customer Service
Product Packaging
On-Time Arrival
 
 
How satisfied are you with the following:
UnsatisfiedVery Satisfied
Website
-
Customer Service
-
Overall
-
 
 
 
Select of of the following
Shahrukh
Salman
Ajay
 
 
* Enter a valid zip code
 
 
 
How likely would you be to recommend our products to a friend or colleague?
«Very UnlikelyVery Likely»
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