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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
   
 
 
 
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]?
   
 
 
 
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]?
   
 
 
 
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?
   
 
 
Customer Service Representative


The following questions pertain to the customer service representative you spoke with most recently. Please indicate whether you agree or disagree with the following statements
Strongly Agree Agree Neutral Disagree Strongly Disagree
The customer service representative was very courteous
The customer service representative handled my call quickly
The customer service representative was very knowledgeable
 

Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
Considering the total package offered by including customer service, [PRODUCT] features and benefits, and cost; how satisfied are you with [COMPANY]? COMPANY
 
 
 
Buying Experience


Where did you purchase [PRODUCT]?
 
[LOCATION1]
 
[LOCATION2]
 
[LOCATION3]
 
Other
 
 
 
 
How was your overall purchasing experience?
   
 
 
 
Pricing & Product Value

How much did you pay for your product (excluding tax)?
   
 
 
 
Did you use any coupons or receive a discount of any kind?
Yes No
 
 
 
How would you rate the overall value of this product?
1 - Very low value 2 3 4 5 - Very high value
 
 
Please indicate your agreement with each of the following statements.
Very Strongly Agree Strongly Agree Agree Disagree Strongly Disagree Very Strongly Disagree
At the time of the purchase decision, I had little time to search for information.
There was a wide difference in performance between the available choices.
Because the product was being offered on sale for a limited time period, I felt I needed to purchase the item quickly.
If this product broke down I would feel that replacement or repair was a high priority.
My (our) budget was very tight at the time of the purchase.
I felt obligated to make a careful analysis of the alternatives before making a selection.
I have one or two favorite stores I shop in for this type of purchase.
I felt it was necessary to talk to a number of friends or because of my lack of knowledge and expertise about this product category.
I felt I would obtain a better deal on this item by shopping around and comparing prices.
I like to devote considerable time and energy when making a product choice such as this one.
Very Strongly Agree Strongly Agree Agree Disagree Strongly Disagree Very Strongly Disagree
Selecting an appropriately styled model was very important to me.
I can make many connections or associations between the use of this product and experiences in my life.
I was very concerned about possible performance problems when searching for the item I purchased.
Using the product I purchased is one of the most enjoyable things I do.
I did not have any favorite brands in this search category before beginning my search.
I felt quite knowledgeable about this product category before I began shopping for it.
 
 
Please indicate your agreement with each of the following statements.
Vey Strongly Agree Strongly Agree Agree Disagree Strongly Disagree Very Strongly Disagree
There were wide price differences between available choices.
I received considerable pressure from other family members to purchase this item quickly.
This purchase was difficult because the items in this product category are so technologically complex.
This purchase was not planned, but the item caught my eye in the store and I decided to purchase it.
It was my task to make the product choice the right one.
The amount of money I could or would spend on this item was very limited.
I felt comfortable judging the differences between alternatives relatively well.
I generally make purchases of this kind at one particular store because I believe they offer the best values around.
I enjoyed shopping for this product.
I was very concerned about the economic consequences of making a poor or incorrect choice.
Vey Strongly Agree Strongly Agree Agree Disagree Strongly Disagree Very Strongly Disagree
Generally I like to make purchases quickly without shopping around at different stores, because it just is not worth my effort.
I am concerned about my friends' approval of my choice.
Because of my lifestyle, I feel this is a product that ought to be important to me.
I was very concerned about my product choice because of the consequences of selecting an item that did not perform as I anticipated.
I believe I could be quite helpful to friends who are having difficulty making a selection in this product category.
I had a strong brand preference in this category because of my previous experience with some of these brands.
 
Please contact [email protected] if you have any questions regarding this survey.
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