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How satisfied are you with regarding the following items?
PRODUCT
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Not Applicable
Overall quality
Value
Purchase experience
Installation or first use experience
Usage experience
After purchase service (warranty, repair, customer service etc)
 
 
 
How often do you use [PRODUCT]?

 
Once a week or more often
 
2 to 3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year or less often
 
Do not use
 
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
 
Compared to other [PRODUCT CATEGORY] that are available, would you say that [PRODUCT] is...
 
Much better
 
Somewhat better
 
About the same
 
Somewhat worse
 
Much worse
 
Don't know or never used
 
 
 
Will you use/purchase [PRODUCT] again?
 
Definitely will
 
Probably will
 
Might or might not
 
Probably will not
 
Definitely will not
 
Never used
 
 
 
How likely are you to recommend [PRODUCT] to others?
 
Definitely will recommend
 
Probably will recommend
 
Not sure
 
Probably will not recommend
 
Definitely will not recommend
 
Never Used
 
 
 
Based on your experience with [PRODUCT], how likely are you to buy a [OTHER PRODUCT] again?


 
Very Unlikely
 
Unlikely
 
Somewhat Unlikely
 
Very Likely
 
Extremely Likely
 
 
 
If you contacted [COMPANY] customer service, were all problems resolved to your complete satisfaction?
 
Yes, by the company or its representatives
 
Yes, by me or someone outside the company
 
No, the problem was not resolved
 
No problems/No contact with customer service
 
 
 
If you have additional comments for [COMPANY] about your experience with [PRODUCT] that have not been addressed in the survey, please enter them below.
   
 
 
 
Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.



If you have any comments or concerns about this survey please Contact: -

Company Name

Address 1

Address 2

City, State, ZipCode

 
 
 
This survey is about a new [product/service] concept that is described as follows:

[ENTER PRODUCT/SERVICE DESCRIPTION HERE]
 
 
 
How would you best describe your familiarity with a product/service like that described above?
 
I was not aware of such a product/service
 
Only generally aware
 
Have investigated or researched such products
 
Have demo'd a product like this
 
Have purchased or regularly use a product like this
 
 
 
If you are a current user, how long have you used [Product/Service]?
 
Under 1 month
 
1-6 months
 
6 months to 1 year
 
1-2 years
 
3 years or more
 
Do not currently use
 
 
 
How often could you find a use for this [Product/Service]?
 
Once a week or more often
 
2-3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year
 
Do not use
 
 
 
Based on the description, how interested would you be in buying this new [Product/Service] if priced within your budget?
 
Not at all interested
 
Not very interested
 
Not sure
 
Somewhat interested
 
Very interested
 
 
 
What is it that you like most about the [Product/Service]?
   
 
 
 
What do you like least about the [Product/Service]?
   
 
 
 
Which of the following best describes your need for this product?

 
I really need this product because nothing else can solve this problem.
 
This is a minor improvement over what I currently use.
 
Looks okay but is about the same as what I'm using now.
 
My current product would serve me better.
 
I am not at all interested in this product.
 
 
 
About what would you expect to pay for a new [Product/Service] like the one described? (Nearest dollar)
   
 
 
 
At what price would this new product begin to look inexpensive or cheap? Select one.
 
FMV + 30%
 
FMV + 20%
 
FMV + 10%
 
FMV + 5%
 
[Enter estimated FMV]
 
FMV - 5%
 
FMV - 10%
 
FMV - 20%
 
FMV - 30%
 
 
 
At what price would this new product begin to look inexpensive or cheap? Select one.
 
FMV + 30%
 
FMV + 20%
 
FMV + 10%
 
FMV + 5%
 
[Enter estimated FMV]
 
FMV - 5%
 
FMV - 10%
 
FMV - 20%
 
FMV - 30%
 
 
 
At what price would the product begin to look too expensive? Select one.
 
FMV + 30%
 
FMV + 20%
 
FMV + 10%
 
FMV + 5%
 
[Enter estimated FMV]
 
FMV - 5%
 
FMV - 10%
 
FMV - 20%
 
FMV - 30%
 
 
 
At what price would the product begin to look so expensive that you would never consider buying it?

 
FMV + 30%
 
FMV + 20%
 
FMV + 10%
 
FMV + 5%
 
[Enter estimated FMV]
 
FMV - 5%
 
FMV - 10%
 
FMV - 20%
 
FMV - 30%
 
 
 
If you knew that the average price of [Product/Service] was $[Enter Price], would you expect to pay more or less to buy the described product/service?
 
(20-30%) more
 
(5-10%) more
 
No more, no less
 
(5-10%) less
 
(20-30%) less
 
Please contact [email protected] if you have any questions regarding this survey.
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