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2005
September
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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.
Select the rating that best describe how you feel about this service.
Low
1
2
3
4
High
5
Quality
Price
Trustworthy Brand
Craftsmanship/Design
Value for Price Paid
Please read the following description of a new service concept in order to complete the survey.
[ENTER A DESCRIPTION OF THE SERVICE HERE]
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After reading the above service description, how interested would you be in using the described service?
Not at all interested
Not very interested
Neither interested nor uninterested
Somewhat interested
Extremely interested
What features/attributes of this service are the most valuable to you?
What do you find least appealing about this service?
Overall, how interested are you in buying this service?
Not at all interested
Not very interested
Neither interested nor uninterested
Somewhat interested
Extremely interested
Based on the description, what price would you expect to pay for the service? Please record one number, not a range.
If you wanted to buy/have this new service, which purchase method would you most prefer?
Calling and ordering by telephone
Ordering through the mail
Going to the company/place of business/office
Using the Internet
Other
Which groups of people do you expect to be the greatest users of this service? Please check three (3).
Self
Family member
Co-worker
Business/Organization partner
Student
Other adult
Teen 13-18 years
Child 8-12 years
Child 2-7 years
Infant under 2
How often do you use products from this [Service Category]?
Every day
More than once a week
Once a week
About every two weeks
Once a month
Every three months
Two-three times a year
Once a year
Less often
Never used
Please contact
[email protected]
if you have any questions regarding this survey.
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