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2005
June
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.
Additional Comments/Suggestions for improvement
Would you recommend [COMPANY] to a friend?
Yes
No
For your
NEXT
[PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
Very likely
Somewhat likely
Not sure
Somewhat unlikely
Very unlikely
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]?
Now please think about the features and benefits of the [PRODUCT] itself. How satisfied are you with the [PRODUCT]:
Very Poor
Somewhat Unsatisfactory
About Average
Very Satisfactory
Superior
Would you please take a few minutes to describe why you are not satisfied with the product?
Compared to other [PRODUCT CATEGORY] that are available, would you say that [PRODUCT] is...
Much better
Somewhat better
About the same
Somewhat worse
Much worse
Don't know or never used
How likely are you to recommend [PRODUCT] to others?
Definitely will recommend
Probably will recommend
Not sure
Probably will not recommend
Definitely will not recommend
Never Used
Highest Level of Education Completed:
High School or less
Some College
College Degree
Graduate/Post Graduate
Over all, how satisfied are you with [PRODUCT]
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What are some aspects of [PRODUCT] that can be improved?
Based on your experience, how does [PRODUCT] compare with [OTHER_BRAND_PRODUCT]?
[PRODUCT] is better
About the same
[PRODUCT] is worst
Not sure
Which of the following attributes enticed you to try the [PRODUCT] (initially)?
Looks good
Easy to use/convenient
Price Value
Solves Problem
Readily available
Best quality
Good selection
Just what I need
Advertising
Not sure
Other
How did you first discover this product was available for purchase?
Advertising - TV, newspaper, magazine, radio
Ad in another (product) - brochure, preview
Friends/Family/Someone told me about it
Read a magazine article/review
Saw it in the store/Browsing in store
Through the mail/mail catalog
Other
Please contact
[email protected]
if you have any questions regarding this survey.
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