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  1. Surveys
  2. 2005
  3. November
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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.
 
 
 
Would you consider buying a hybrid car?
 
yes
 
no
 
 

Would you consider it if...?
 
gas prices were too high
 
it was cheaper than a regular car
 
it was faster than a regular car
 
you knew that it pollutes half as much
 
 

do you recycle?
 
yes, everything, including oil, batteries and grass clippings
 
yes, i separate bottles, paper, and garbage
 
I just separate bottles from garbage
 
Not really
 
Not at all
 
 

If you eat or drink in the car, what do you usually do with the garbage?
 
I don't eat or drink while i drive
 
I save the garbage and make sure i dispose it in its proper garbage bin
 
I throw it all out whenever i see a garbage can
 
I throw it out the window
 
 

When I purchase paper or wood I...
 
make sure it's bio-degradeable
 
make sure it is made from a recycled product
 
just buy the cheaper one
 
I don't really read what it's made of, I buy it if I like the way it looks and costs
 
 

How old are you?
<18 18-25 26-39 40-55 56-70 >70
 
 

What gender are you?
male female
 
 
optional
Are you...
white black hispanic asian jewish other
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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