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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.


 
 
 
Would you recommend [COMPANY] to a friend?
 
Yes
 
No
 
 
 
If no, why not?
   
 
 
 
For your NEXT [PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
 
Very likely
 
Somewhat likely
 
Not sure
 
Somewhat unlikely
 
Very unlikely
 
 
 
Which of the following modes did you use to place the LAST order for [PRODUCT]?
 
Mail order
 
Internet
 
Over the phone
 
Fax
 
Other
 
 
 
 
What are the THREE main reasons you didn't purchase [PRODUCT] from [COMPANY]?
   
 
 
 
If you could change something about [COMPANY] what would it be?
   
 
 
 
Are there any other comments you have for [COMPANY]?
   
 
 
 
Have you ever ordered [PRODUCT] from [COMPANY]?
 
Yes
 
No
 
 
 
Overall, how would you rate [COMPANY]?
 
Excellent
 
Good
 
Average
 
Poor
 
Terrible
 
 
 
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
 
 
 
If no, why not?
   
 
 
 
For your NEXT [PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
 
Very likely
 
Somewhat likely
 
Not sure
 
Somewhat unlikely
 
Very unlikely
 
 
 
Which of the following modes did you use to place the LAST order for [PRODUCT]?
 
Mail order
 
Internet
 
Over the phone
 
Fax
 
Other
 
 
 
 
What are the THREE main reasons you didn't purchase [PRODUCT] from [COMPANY]?
   
 
 
 
If you could change something about [COMPANY] what would it be?
   
 
 
 
Are there any other comments you have for [COMPANY]?
   
 
 

what is your gender?
 
Male
 
Female
 
Prefer not to say
 
 
 
which age catefory do you fall into?
 
under 21
 
21 to 30
 
30 to 45
 
45 and over
 
 

* which area do you currently live?
 
south shields
 
north shields
 
newcastle
 
jarrow
 
hebburn
 
gateshead
 
Other
 
 
 
pick only one answer please
* how often do you and/or your family go to a restaurant for a meal?
 
every week
 
every two weeks
 
at least once a month
 
less than once a month
 
 
choose as many as apply please
* which of the following apply to you?
 
i have young children and it is hard to find a restaurant with facilities and menus suitable for children
 
i have young children and it is easy to find restaurants with facilities and menus for children
 
i am currently in a relationship and enjoy going out with my partner for a romantic meal
 
i enjoy going out for a meal in a restaurant with a fun atmosphere
 
i enjoy going out for a meal with a serious atmosphere
 
if you enjoy other types of restaurant please say
 

 
 
 
* how far would you be prepared to travel to get to a good restaurant?
 
5 miles
 
10 miles
 
20 miles
 
50 miles
 
Other
 
 
 
 
which social status do you fall into?
 
unemployed
 
recieving education
 
part time job
 
full time job
 
Other
 
 
 

what is your gender?
 
Male
 
Female
 
Prefer not to say
 
 
 
which age catefory do you fall into?
 
under 21
 
21 to 30
 
30 to 45
 
45 and over
 
 

* which area do you currently live?
 
south shields
 
north shields
 
newcastle
 
jarrow
 
hebburn
 
gateshead
 
Other
 
 
 
pick only one answer please
* how often do you and/or your family go to a restaurant for a meal?
 
every week
 
every two weeks
 
at least once a month
 
less than once a month
 
 
choose as many as apply please
* which of the following apply to you?
 
i have young children and it is hard to find a restaurant with facilities and menus suitable for children
 
i have young children and it is easy to find restaurants with facilities and menus for children
 
i am currently in a relationship and enjoy going out with my partner for a romantic meal
 
i enjoy going out for a meal in a restaurant with a fun atmosphere
 
i enjoy going out for a meal with a serious atmosphere
 
if you enjoy other types of restaurant please say
 

 
 
 
* how far would you be prepared to travel to get to a good restaurant?
 
5 miles
 
10 miles
 
20 miles
 
50 miles
 
Other
 
 
 
 
which social status do you fall into?
 
unemployed
 
recieving education
 
part time job
 
full time job
 
Other
 
 
 
 
The amount of work I am expected to do on my job is reasonable.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I am satisfied with the priorities and direction of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I have adequate information available which enables me to do my job well.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
We operate in a cost-efficient way in my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I understand the day-to-day goals of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Diverse perspectives are valued and encouraged within the department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Considering everything, how satisfied are you with your job?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Very Satisfied
 
Not Sure
 
 
 
[COMPANY] policies and procedures make sense to me.

 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
The physical working conditions(e.g., ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Individual differences are respected here(e.g., gender, race, educational background, etc.)
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
The amount of work I am expected to do on my job is reasonable.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I am satisfied with the priorities and direction of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I have adequate information available which enables me to do my job well.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
We operate in a cost-efficient way in my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I understand the day-to-day goals of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Diverse perspectives are valued and encouraged within the department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Considering everything, how satisfied are you with your job?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Very Satisfied
 
Not Sure
 
 
 
[COMPANY] policies and procedures make sense to me.

 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
The physical working conditions(e.g., ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Individual differences are respected here(e.g., gender, race, educational background, etc.)
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
Please contact [email protected] if you have any questions regarding this survey.
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