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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.


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About how many units of this new product would you buy over the next year at each price point listed below?
Would Not Buy Volume 1 Volume 2 Volume 3 Volume 4
FMV + 30%
FMV + 20%
FMV + 10%
FMV + 5%
FMV
FMV - 5%
FMV - 10%
FMV - 20%
FMV - 30%
 
 
 
This survey is about a new [product/service] concept that is described as follows:

[ENTER PRODUCT/SERVICE DESCRIPTION HERE]
 
 
 
How would you best describe your familiarity with a product/service like that described above?
 
I was not aware of such a product/service
 
Only generally aware
 
Have investigated or researched such products
 
Have demo'd a product like this
 
Have purchased or regularly use a product like this
 
 
 
How often could you find a use for this [Product/Service]?
 
Once a week or more often
 
2-3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year
 
Do not use
 
 
 
Based on the description, how interested would you be in buying this new [Product/Service] if priced within your budget?
 
Not at all interested
 
Not very interested
 
Not sure
 
Somewhat interested
 
Very interested
 
 
 
Which of the following best describes your need for this product?

 
I really need this product because nothing else can solve this problem.
 
This is a minor improvement over what I currently use.
 
Looks okay but is about the same as what I'm using now.
 
My current product would serve me better.
 
I am not at all interested in this product.
 
 
 
At what price would this new product begin to look inexpensive or cheap? Select one.
 
FMV + 30%
 
FMV + 20%
 
FMV + 10%
 
FMV + 5%
 
[Enter estimated FMV]
 
FMV - 5%
 
FMV - 10%
 
FMV - 20%
 
FMV - 30%
 
 
 
If you knew that the average price of [Product/Service] was $[Enter Price], would you expect to pay more or less to buy the described product/service?
 
(20-30%) more
 
(5-10%) more
 
No more, no less
 
(5-10%) less
 
(20-30%) less
 
Please contact [email protected] if you have any questions regarding this survey.
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