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2005
August
T
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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
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button below.
Favorite Drink...
Coke
Pepsi
Sprite
Mountain Dew
A&W Root Beer
Additional Comments/Suggestions for improvement
What is your idea of a good night out?
Visit to the theatre or opera
Romantic dinner for two
Karaoke at the local pub
Drinks and then clubbing
Watching a football game
Which of these would be your ideal holiday?
Activity-based, e.g. skiing
A luxury hotel in New York
Exploring the Far East
Lying on a beach in the sun
A cottage in the country
How would you best describe your character?
Shy and reserved
Expressive, open and chatty
Humorous, but hide feelings
Uncomplicated, easy-going
What are the most important characteristics in a partner?
Good looks and style
Loyal, kind, trustworthy
Sense of fun, love of life
Dynamic, successful
Passionate and adventurous
How would you describe your parents' marriage?
Up and down but good
They separated/divorced
Not close, but stayed together
Happy, affectionate, loving
Acrimonious, argumentative
What were your family's financial circumstances?
Affluent, plenty for all of us
Comfortable
Struggling, money was tight
Varied from lots to little
Choose three traits you least like in someone
Messiness
Infidelity
Unreliability
Meanness
Selfishness
No ambition
Poor dress sense
Negative attitude/sulkiness
Smoke?
Yes
No
Name
Address
Work Phone
Home Phone
Please contact
[email protected]
if you have any questions regarding this survey.
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