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How interested are you in {SERVICE NAME & DESCRIPTION}?
 
Very interested
 
Somewhat interested
 
Neutral
 
Somewhat uninterested
 
Very uninterested
 
 
How important are the following features of this proposed service?
Least Important Most Important
{FEATURE 1}
{FEATURE 2}
{FEATURE 3}
{FEATURE 4}
{FEATURE 5}
 
 
 
What would you expect to pay for this service if it had all of the above features?
 
{PRICE RANGE 1}
 
{PRICE RANGE 2}
 
{PRICE RANGE 3}
 
{PRICE RANGE 4}
 
{PRICE RANGE 5}
 
I would not pay for this service
 
 
 
How likely is it that you would buy this service if it had all of the above features?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
Would you be more or less interested in purchasing this service if it had any of the following attributes?
Much Less Interested Less Interested Neutral More Interested Much More Interested
{ATTRIBUTE 1}
{ATTRIBUTE 2}
{ATTRIBUTE 3}
{ATTRIBUTE 4}
{ATTRIBUTE 5}
 
 
 
What additional attributes would you like incorporated into this service?
   
 
 
 
How often would you expect to use this service?
 
Once a week
 
Once a month
 
Every other month
 
Once or twice a year
 
Would not use
 
 
Please indicate the degree to which you agree/disagree with the following statements about your current service.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
Overall, it matches my expectations of what a service should be
The customer support for this service is adequate
It is reasonably priced
 
 
 
If our proposed service were available today, when would you be most likely to buy it?
 
Within the next month
 
Between 1 and 3 months from now
 
Between 4 and 6 months from now
 
Between 7 months and a year from now
 
More than a year from now
 
I'm not interested
 
 
 
What do you currently use as an alternative to our proposed service?
 
{ALTERNATIVE 1}
 
{ALTERNATIVE 2}
 
{ALTERNATIVE 3}
 
{ALTERNATIVE 4}
 
{ALTERNATIVE 5}
 
I use no service similar to the proposed service
 
Other
 
 
 
 
Please provide additional comments about your current service.
   
 
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