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2005
July
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You are invited to participate in our survey. 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.
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what color do you like the most for a car truck of van out of the choices?
Aqua Blue
Aqua Green
Red
Black
Favorite Drink...
Coke
Pepsi
Mountain Dew
what Quarter were you born in?
Qtr 1, Jan Feb Mar
Qtr 2, Apr May Jun
Qtr4, Oct Nov Dec
Qtr3, Jul Aug Sep
What type of credit cards do you use the most?
Visa
MasterCard
American Express
Diners Club
Additional Comments/Suggestions for improvement
Please contact
[email protected]
if you have any questions regarding this survey.
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