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The following is a list of product and service items. How satisfied are you with on each item?
PRODUCT
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Not Applicable
Overall quality
Value
Purchase experience
Installation or first use experience
Usage experience
After purchase service (warranty, repair, help desk)
 
 
How long have you used [PRODUCT]?
 
Less than 1 month
 
1 to 6 months
 
6 months to 1 year
 
1 to 2 years
 
2 years or more
 
Never used
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
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
 
 
Will you use/purchase [PRODUCT] again?
 
Definitely will
 
Probably will
 
Might or might not
 
Probably will not
 
Definitely will not
 
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
 
 
Based on your experience with [PRODUCT], how likely are you to again buy a [Company Product]?


 
Very Unlikely
 
Unlikely
 
Somewhat Unlikely
 
Very Likely
 
Extremely Likely
 
 
Are you:
 
Male
 
Female
 
 
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
 
 
What is the one reason you purchased this (product)?
 
Someone asked for it
 
Makes a great gift
 
Own other (products) and wanted more
 
It is a classic
 
Good for the whole family
 
Saw it in the store
 
I like the (product)
 
Price/Good value
 
Other
 
Primarily, for whom was this product purchased?
Male Female
2 yrs. or younger
3-5 yrs.
6-8 yrs.
9-12 yrs.
13-17 yrs.
18-24 yrs.
25-34 yrs.
35-44 yrs.
45-54 yrs.
55+ yrs.
 
 
How often do you use [PRODUCT]?
 
daily
 
once/week or more
 
2 to 3 times a month
 
once/month
 
every 2-3 months
 
2-3 times a year
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
How likely are you to use/purchase [PRODUCT] again?
 
Definitely
 
Probably
 
Might or might not
 
Probably not
 
Definitely not
 
Never used
 
 
Would you recommend [PRODUCT] to others?
 
Definitely
 
Probably
 
Might or might not
 
Probably not
 
Definitely not
 
N/A
 
 
How often do you use [PRODUCT]?

 
Once a week or more often
 
2 to 3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year or less often
 
Do not use
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
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
 
 
Will you use/purchase [PRODUCT] again?
 
Definitely will
 
Probably will
 
Might or might not
 
Probably will not
 
Definitely will not
 
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
 
 
Based on your experience with [PRODUCT], how likely are you to buy a [OTHER PRODUCT] again?


 
Very Unlikely
 
Unlikely
 
Somewhat Unlikely
 
Very Likely
 
Extremely Likely
 
 
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
 
Please rate the following characteristics of the service representative on a scale from 1 to 5, where 1 means poor service and 5 means excellent service. If you did not deal with a service representative, please select 6.
1
Poor
2
Fair
3
Good
4
Very Good
5
Excellent
6
N/A
Knowledge of the product
Courteousness
Willingness to help
Efficiency/quickness
Ability to complete transaction
 

Product Background

Which product or products did you purchase?
 
[PRODUCT1]
 
[PRODUCT2]
 
[PRODUCT3]
 
[PRODUCT4]

 
How did the product's price compare to your expectations?
Poor Fair Good Very Good Excellent
 
 
 
Why was the product purchased?
 
Purchased for self
 
Bought by someone else at my request
 
Gift from someone else
 
Family purchase
 
Business purchase
 
Other
 
 
 
Buying Experience


Where did you purchase [PRODUCT]?
 
[LOCATION1]
 
[LOCATION2]
 
[LOCATION3]
 
Other
 
 
 
How would you rate the overall value of this product?
1 - Very low value 2 3 4 5 - Very high value
 
Occupation: (check all that apply)
You Spouse
Professional/Technical
Upper Management/Executive
Middle Management
Sales/Marketing
Clerical/Service Worker
Tradesman/Machine Operator/Laborer
 
 
What type of [Brand] product did you purchase?
 
Model 1
 
Model 2
 
Model 3
 
Model 4
 
Model 5
 
 
How would you describe this purchase? (check only one)
 
First time purchase
 
Addition to current [Brand] product(s) owned
 
Addition to product owned (other brand)
 
Replacement of [Brand] product owned
 
Replacement of product owned (other brand)
 
 
What other brands did you consider?
 
Brand 1
 
Brand 2
 
Brand 3
 
Brand 4
 
 
How do you plan to use this product?
 
For Work
 
For School
 
For the Outdoors
 
Other
 
 
 
How did you first learn about [Brand] products?
 
Friend/relative
 
Salesperson
 
Ads/promotions
 
Via the internet/website
 
In-store display
 
Other
 
 
 
Which of the following MOST influenced your purchase of [Brand] products?
 
In-store display
 
Previous experience with the brand
 
Price/Good value
 
Style/Appearance
 
Color/Design
 
Size/Capacity
 
Weight
 
Warranty
 
Comfortable
 
Quality construction/Durability
 
 
Your date of birth: (month and year)
   
 
 
Marital status:
 
Married
 
Single
 
 
Which group describes your annual family income?
 
Under $60,000
 
$60,000-$74,999
 
$20,000-$24,999
 
$75,000-$99,999
 
$100,000-$124,999
 
$125,000 & above
 
 
Level of education: (check the highest level completed)
 
Completed high school
 
Completed college
 
Completed graduate school
 
 
Approximately how many times did you shop for electronic products in the past year?
   
 
 
Please indicate the approximate total amount your family spent on electronic products within the last year.
 
Less than $300
 
$300 - $499
 
$500 - $799
 
$800 - $999
 
$1,000 - $2,499
 
More than $2,500
 
Don't know/Not sure
 
 
During the past year, have you or a member of your family purchased a major home electronic product?
 
Yes
 
No
 
 
If yes, what item was purchased? (Check all that apply.)
 
TV (priced more than $800)
 
TV (priced between $400 and $799)
 
TV (priced less than $400)
 
Video Recorder
 
Home Computer

 
 
The item was purchased:
 
as a gift for someone not in your household.
 
as a gift for someone in your household.
 
to be used mostly by other members of your household.
 
to be used mostly by yourself.
 
Other
 
 
How many times have you purchased items in this product category in the past 10 years?
 
0
 
1
 
2
 
3-4
 
More than 5 times
 
Don't know/Not sure
 
 
Which of the following have you purchased within the last year? (Check all that apply)

 
microwaves
 
audio/car stereo/radios/cassettes
 
calculators
 
video games
 
computer
 
phones
 
TVs
 
VCRs/DVDs
 
cameras

 
 
What type of store did you purchase this [PRODUCT] in?
 
Department Store
 
Shoe Store
 
Clothing Store
 
Sporting Goods Store
 
Army-Navy/Work Store
 
Marina/Boating Store
 
Mail Order Catalog
 
Received as a Gift
 
Internet
 
Other
 
 
 
Which of the following describes this purchase of [PRODUCT]?
 
Purchasing for the first time buyer
 
Purchasing again
 
 
What one factor most influenced your purchase [BRAND] [PRODUCT]?
 
TV Ad
 
Radio Ad
 
Magazine Ad
 
Newspaper Ad
 
Friend's Recommendation
 
Salesperson's Recommendation
 
In-Store Display
 
Previous Ownership
 
Not sure
 
Other
 
 
 
For your primary residence, do you:
 
Own a house
 
Rent a house or apartment
 
Own a townhouse or condominium
 
Other
 
 
 
How long have you used [PRODUCT]?
 
Less than 1 month
 
1 to 6 months
 
6 months to 1 year
 
1 to 2 years
 
2 years or more
 
Never used
 
 
The following is a list of product and service items. How satisfied are you with on each item?
PRODUCT
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Not Applicable
Overall quality
Value
Purchase experience
Installation or first use experience
Usage experience
After purchase service (warranty, repair, help desk)
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