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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
Please view the product/description of the following advertisement. [ENTER AD OR DESCRIPTION]
How well do you remember this advertisement?
Don't remember at all
Remember company but not product or ad
Remember company and product but not ad
Remember ad
(Check all that apply)
If you were describing this ad to a friend, would you say this ad is...
Active
Attention-getting
Boring
Cheerful
Creative
Emotional
Energetic
Genuine/sincere
Honest
Humorous
Informative
Irritating
Memorable
Natural
Offensive
Pleasant
Satisfying
Strong
Unique
Warm-hearted
Please check the one box that best indicates how descriptive the statement is of you.
Just like me
A lot like me
Somewhat like me
Not much like me
Not at all like me
It is important to me to be treated well.
I like the "royal treatment" in stores
I have somewhat old-fashioned tastes and habits
I like my clothes to look up to date
I never have enough time to shop
I think I am a little bit wild
I think shopping is fun
I often buy things on impulse
I have lots of leisure time
I expect to have more money next year
Please check the one box that best indicates how descriptive the statement is of you.
Just like me
A lot like me
Somewhat like me
Not much like me
Not at all like me
My world seems to be coming apart at the seams
I think I am a smart shopper
I like to be outrageous
I feel I get a raw deal out of life
I think a woman's place is in the home
I prefer stores where prices are always low
I never seem to have enough money
I regularly read the newspaper
I have more money now than last year
When I shop, I just want to get it over with
Please contact
[email protected]
if you have any questions regarding this survey.
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