Focus Group Recruitment Questionnaire Survey - COP

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

Do you or does any member of your household work for:

An advertising or public relations agency

A market research, strategic marketing or opinion company

The marketing or market research department of any company

A telemarketing firm

A food manufacturer or retailer

A software, hardware or multimedia company

Developer or manufacturer

Online retailer

E-commerce or web development company

Branching: Pick only age group 25-64

Age

Which of the following best describes your age?

Branching: Discard Retired..

Employment

Do you work full time or part time, outside the home?

Full-time [35+ Hours per week]

Part-time [15-20 Hours per week]

Full-time homemaker

Retired

Branching: High School Graduates and Above

Education

Which of the following best describes the highest level of education completed?

Some High School

High School Graduate

Some College

Graduated College

Post Graduate

Family Status

Which of the following statements applies to you:

I have children under the age of 6 living at home

I have children between the ages of 6 and 17 living at home

I have no children under the age of 18 living at home

Online Services

a. Do you log on and use the Internet by yourself, without help, at either work or home?

Yes

No

b. How long have you been using the Internet, by yourself?

Less than 6 months

6 12 months

1 - 2 year

More than 2 years

c. How often do you use the Internet, not including email, by yourself, either at work or at home?

Less than one hour/week

1 2 hours/week

2 3 hours/week

More than 3 hours/week

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?

Computer Usage

When using the Internet, either at home or at work, which do you use more often?

IBM Compatible PC

Mac

Branching: End if involved in prior market research studies

Research Experience

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?

Yes

No

* Name

Phone

* Email Address

Thank You for completing the Questionnaire... Your honest responses are truly appreciated.

Please click on the Finish Survey button to complete this Survey.

In thinking about your most recent experience with [COMPANY], was the quality of customer service you received:

If you indicated that the customer service was unsatisfactory, would you please describe what happened?

The process for getting your concerns resolved was:

Would you please take a few minutes to describe what happened?

Now please think about the features and benefits of the [PRODUCT] itself. How satisfied are you with the [PRODUCT]:

	Very Satisfied	Somewhat Satisfied	Neutral	Somewhat Dissatisfied	Very Dissatisfied
Considering the total package offered by including customer service, [PRODUCT] features and benefits, and cost; how satisfied are you with [COMPANY]?						COMPANY

Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.

If you have any comments or concerns about this survey please Contact: -

[COMPANY]

[MANAGER_NAME]

[ADDRESS_1]

[ADDRESS_2]

[CITY], [STATE], [ZIP]