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2013
January
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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 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.
*
Please rank (1-3) the following in order of interest:
Skiing
-- Select --
1
2
3
Snowboarding
-- Select --
1
2
3
Biking
-- Select --
1
2
3
Please rate the following:
Books
Movies
Music
*
Please allocate 100 points on how you spend your income:
Essentials (Gas, Grocery etc.)
$
Entertainment (Movies, Clubs etc.)
$
Other
$
Values must add up to 100
Please drag and rank(1
st
to 3
rd
) the following in order of interest:
Drag your choices here to rank them
Skiing
Snowboarding
Biking
*
Please rank (1-3) the following in order of interest:
Poor
-- Select --
1
2
Below Average
-- Select --
1
2
Average
-- Select --
1
2
Good
-- Select --
1
2
Excellent
-- Select --
1
2
What is your gender?
Male
Female
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