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Hi:
I am with [MARKET_RESEARCH_COMPANY], a market research company based in [LOCATION]. We are conducting a survey about [SUBJECT] that might be of interest to you. We would like to include your opinions in this study. This is a marketing research study only, and we will not attempt to sell you anything at all today or in the future.
Thank you for your participation |
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Do you or does any member of your household work for: |
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Branching: Pick only age group 25-64
Age
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Which of the following best describes your age? |
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Branching: Discard Retired..
Employment
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Do you work full time or part time, outside the home? |
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Branching: High School Graduates and Above
Education
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Which of the following best describes the highest level of education completed?
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Which of the following statements applies to you: |
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a. Do you log on and use the Internet by yourself, without help, at either work or home? |
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b. How long have you been using the Internet, by yourself? |
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c. How often do you use the Internet, not including email, by yourself, either at work or at home? |
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d. On a scale of 1 to 5, with 1 being the least comfortable and 5 being the most comfortable, how comfortable and familiar are you using the Internet, including such things as links, site addresses, or search engines?
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When using the Internet, either at home or at work, which do you use more often? |
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Branching: End if involved in prior market research studies
Research Experience
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Aside from political surveys, have you participated in any market research studies such as panel discussions, focus groups or surveys, in the last 12 months? |
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| * Name | | | | Phone | | | | * Email Address | | |
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Thank You for completing the Questionnaire... Your honest responses are truly appreciated.
Please click on the Finish Survey button to complete this Survey. |
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How many online purchases have you made in the last month?
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For whom do you primarily shop for online?
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What is your most important consideration when shopping online?
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When you purchase online, you purchase for (check all that apply):
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| What are the top two [PRODUCT CATEGORY/ SPECIAL INTEREST GROUP]sites you visit? | | |
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Before starting this survey, how familiar were you with the [WEBSITE NAME].com website?
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How did you hear about it [WEBSITE NAME].com? (check all that apply)
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How many times did you visit [WEBSITE NAME].com over the last month?
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How beneficial is the idea of a [WEBSITE NAME].com website to you?
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Which of the following items would you be interested in purchasing from [WEBSITE NAME].com? (check all that apply)
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Given the above selection, now how beneficial might [WEBSITE NAME].com be to you?
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If you were buying a GIFT, which of the following would you consider? (Check all that apply)
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How many purchases have you made at [WEBSITE].com over the last year?
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How would you describe your experience visiting [WEBSITE].com?
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| Do you have any comments or suggestions for [WEBSITE].com? | | |
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How many children do you have living at home?
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How many years since you were a student at [UNIVERSITY NAME]?
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Have you been or are you now a continuing education student?
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What is your current browser?
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Primarily from what kind of computer system do you access the internet?
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| Any other suggestions or comments?
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