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  1. Surveys
  2. 2005
  3. October
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  5. Sample Survey
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Hello:

You are invited to participate in my survey about health and wellbeing. In this survey, approximately 100 people will be asked to complete a survey that asks questions about your knowledge of and habits around wellness. It will take approximately 5-10 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 not be reported to anyone but the survey owner. 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 Dale Harris 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.
 
 

How interested are you in your overall health & wellbeing?
 
Extremely. i am always looking for ways to improve it.
 
I like to keep abreast of the major ideas and tips to ensure health & wellbeing.
 
I figure if I eat right and exercise, I'll be fine.
 
You know, I don't think about it all that much.
 
Other
 
 
 

* Are you aware that your personal care and household cleaning products often contain chemicals that are known to be harmful to your health?
 
 

* Are you aware that many conditions such as asthma, excema, cancer & heart disease can be attributed to the use of dangerous chemicals around the home?
 
Yes
 
No
 
Other
 
 

* Would you consider new wellness products that were from an established company with an excellent reputation? Product range includes cosmetics, supplements, cleaning products and personal care/toiletires. Over 300 in total and all non-toxic and environmentally friendly?
Yes No Other
 
 

Would you be happy to buy from a company that delivered the goods directly to your door?
Yes No
 
 

How much would you be preared to spend each month on superior products that worked better than supermarket brands, lasted longer than them and were delivered to your door?
 
$30
 
$40
 
$50
 
More than $50
 
Other
 
 
 

* These products already exist. Would you be interested in learning more about safer, non-toxic personal care and household cleaners if it meant that your wellness could improve?
Yes No Other
 
 

* Would you be prepared to accept email or phone calls to get this additional information?
 
 

Please enter your email address or phone number below so that you may receive more information.
 
Please contact [email protected] if you have any questions regarding this survey.
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