Sample surveys | ||||
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Survey Topic: Sample
Number of Questions: 20
Payment for Completing Survey: $20 USD
1. Please supply us with your contact information: | |
Name: | |
Organization: | |
Address: | |
City and State: | ZIP Code: |
E-mail: | |
2. Do you currently use any "PRODUCT"? | |
Yes No Don't know | |
3. What brand of "PRODUCT" are you currently using? | |
Brand 1 Brand 2 Brand 3 Brand 4 Brand 5 Other | |
4. How did you purchase this "PRODUCT"? | |
Retail Store Direct Mail Catalog Web Company Other | |
5. Are there features that this product does not have that you would want out of a "PRODUCT"? | |
Yes No Don't know | |
6. What features does your "PRODUCT" not have that you wish it did? | |
7. How much did you pay for your "PRODUCT"? | |
8. How satisfied are you with your "PRODUCT"? | |
Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied | |
9. Of the following list of features, please select the top three that would be of interest to you: | |
Feature 1 Feature 2 Feature 3 Feature 4 Feature 5 Feature 6 | |
10. Of the three features you just listed, please rank them first, second and third in importance to you: | |
1. 2. 3. | |
11. Are there any additional features that would be of importance to you? | |
Additional Feature 1 Additional Feature 2 Additional Feature 3 Additional Feature 4 Additional Feature 5 | |
12. Are there particular features that a product must have for you to purchase it? Please list what they are in order of importance: | |
Essential Feature 1 Essential Feature 2 Essential Feature 3 Essential Feature 4 Essential Feature 5 | |
13. How much would you be willing to pay for a product with these features ("LIST FEATURES")? | |
14. If the "PRODUCT" was priced at (price) how likely, on a percentage basis, would you be to buy it? (0% = Not at all likely to buy, 100% = Completely likely to buy) | |
15. How much are you authorized to spend on new products? | |
16. What do you think about the price of this "PRODUCT"? | |
Extremely Low Somewhat Low Just right Somewhat High Extremely High | |
17. Through what means would you be least likely to purchase this "PRODUCT"? | |
Retail Direct Mail Mail Order Catalog Classified Advertisement Telemarketer | |
18. Through what means would you be least likely to purchase this "PRODUCT"? | |
Retail Direct Mail Mail Order Catalog Classified Advertisement Telemarketer | |
19. What do you think would be a good name for such a "PRODUCT"? | |
20. Can you please tell us which one of the following possible product names you like the most? | |
Product 1 Product 2 Product 3 Product 4 Product 5 |
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