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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.


 
 
Is there a need in the city for a high class restaurant?
 
Strongly Agree
 
Agree
 
Disagree
 
 

How many miles would you be willing to drive to your favorite restaurant?
 
1-3
 
4-5
 
6-7
 
10 +
 
 

What is your age?
 
18-20
 
21-30
 
31-40
 
41 +
 
 

How often do eat out each month?
 
1-2
 
3-4
 
5-6
 
7+
 
 

Do you like exotic foods from around the world?
 
Agree
 
Strongly Agree
 
Disagree
 
Strongly Disagree
 
 

What is your favorite type of food?
 
Italian
 
American
 
French
 
Middle Eastern
 
 

Is valet parking a necessity for all high class restaurants?
 
Strongly Agree
 
Agree
 
Disagree
 
Stronly Disagree
 
 

Can our city support a high class restaurant?
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 

What is your gender?
 
Male
 
Famale
 
 

What source of periodical do you often read?
 
Newspaper
 
Magazine
 
Journal
 
 

How often do you watch television?
 
Daily
 
Weekly
 
Monthly
 
Yearly
 
 

What type of credit cards do you carry?
 
Visa
 
Mastercard
 
American Express
 
Diners Club
 
 
 
What is your current income?
 
$25,000-30,000
 
$30,000-$50,000
 
$50,000-$100,000
 
$100,000-up

 
 

What is your favorite dink?
 
Wine or similar
 
Water
 
Soda
 
Mixed Drinks
 
 

What type of music would you like while you are dining?
 
Jazz
 
Italian
 
Classical
 
Contempoary
 
 
 
How much do you normally spend on a dinner entree on a night out?
 
$7-$9
 
$10-$14
 
$15-$18
 
$18-up

 
Please contact [email protected] if you have any questions regarding this survey.
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