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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.


 
 
 
Are you:
 
Male
 
Female
 
 
 
Did you receive this [PRODUCT] as a gift?
 
Yes
 
No
 
 
 
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 [PRODUCT]s and wanted more
 
It is a classic
 
Good for the whole family
 
Saw it in the store
 
I like the [PRODUCT]
 
It was on sale
 
Other
 
 
 
 
 
   
 
 
 
How many total [COMPANY NAME] [PRODUCT]s do you own?
   
 
 
How many total [PRODUCT]s of any brand do you own?
   
 
 
How many total [COMPANY NAME] [PRODUCT]s have you purchased in the past 12 months?
   
 
 
How many total [PRODUCT]s of any brand have you purchased in the past 12 months?
   
 
 
 
Your age:
 
12 yrs. or younger
 
13-17 yrs.
 
18-24 yrs.
 
25-34 yrs.
 
35-44 yrs.
 
45-54 yrs.
 
55-64 yrs.
 
65+ yrs.
 
 
What are the ages of the children in your household? (Check all that apply)
Boys Girls
Under 6 mos.
6-11 mos.
1 yr.
2 yrs.
3 yrs.
4 yrs.
5 yrs.
6 yrs.
7 yrs.
8 yrs.
13-17 yrs.
 
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