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2005
October
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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.
Favorite Drink...
Coke
Pepsi
Sprite
Mountain Dew
A&W Root Beer
Additional Comments/Suggestions for improvement
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
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 again buy a [Company Product]?
Very Unlikely
Unlikely
Somewhat Unlikely
Very Likely
Extremely Likely
If you have contacted [COMPANY] customer service, were all problems resolved to your complete satisfaction?
Yes, by the company or its representatives
Yes, by me or someone outside the company
No, the problem was not resolved
No problems/No contact with customer service
What would you like to tell [COMPANY] about your satisfaction with [PRODUCT] that was not already asked in the survey?
Thank you for your feedback.
Please contact
[email protected]
if you have any questions regarding this survey.
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