Sample surveys | ||||
|
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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