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2005
March
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
Pepsi
Sprite
Mountain Dew
A&W Root Beer
Additional Comments/Suggestions for improvement
This survey is about gasoline purchasing and gasoline prices.
Food Quality
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
The food is served hot and fresh
The menu has a good variety of items
The quality of food is excellent
The food is tasty and flavorful
Restaurant
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
N/A
My food order was correct and complete
Employees are patient when taking my order
I was served promptly
Availability of sauces, utensils, napkins, etc. was good
The menu board was easy to read
The drive-thru sound system was clear
Employees speak clearly
Employees are friendly and courteous
The service is excellent
Value for price paid
Quality of food
Quality of beverage
Please contact
[email protected]
if you have any questions regarding this survey.
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