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2005
February
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
Continue
button below.
Choose your drink..coke.
Coke
Sprite
Mountain Dew
A&W Root Beer
Additional Comments/Suggestions for improvement
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.
How many children 17 yrs. or younger live in your household?
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.
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.
Please contact
[email protected]
if you have any questions regarding this survey.
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