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2005
May
S
Sample Survey
Sample Survey
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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 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.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Favorite Drink...
Coke
Pepsi
Mountain Dew
Additional Comments/Suggestions for improvement
Overall, how would you rate [COMPANY]?
Excellent
Good
Average
Poor
Terrible
Not Sure
How satisfied are you with your service from [COMPANY]?
Extremely satisfied
Very satisfied
Neutral
Very dissatisfied
Extremely dissatisfied
Would you recommend [COMPANY] to a friend?
Yes
No
Not Sure
For your
NEXT
[PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
Definitely would buy
Probably would buy
Might or might not buy
Probably would not buy
Definitely would not buy
N/A
What are the
THREE
main reasons you didn't purchase [PRODUCT] from [OTHER_COMPANY]?
What would you change about the process of purchasing [PRODUCT] (i.e. placing the order, mode of payment, delivery etc) from [COMPANY]?
Below are several words that can be used to describe department stores. Please select the answer that best indicates the way you would describe each store.
[Your Store
Excellent
Very Good
Good
Fair
Poor
Good selection
High prices
High quality
High fashion
Good service
Easy to shop in
Friendly
Good sales and promotions
Sophisticated
Traditional
Excellent
Very Good
Good
Fair
Poor
Different
Take chances
Confident
Creative
Sociable
Stands out in the crowd
Simplified lifestyle
Considering the following stores, which store:
KMart
Penneys
Sears
Target
Mervyns
Other
consistently provides the
best values
for your money?
is most likely to have
what you want in stock
?
has the best
advertised sales and specials
?
has the
best quality merchandise
?
maintains the best
everyday price
for most merchandise?
has the
lowest prices
overall?
provides the
least value
for your money?
has the
highest prices overall
?
has the
poorest quality merchandise
?
has the
most convenient store layout for shopping
?
has the
widest selection of national brand merchandise
?
offers the
lowest everyday prices
on household essentials such as cleaning supplies, paper goods, and health and beauty aids?
has the
best cafeteria
?
Please contact
[email protected]
if you have any questions regarding this survey.
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