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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.


 
 
 
Favorite Drink...
 
Coke
 
Pepsi
 
Sprite
 
Mountain Dew
 
A&W Root Beer
 
 
 
Additional Comments/Suggestions for improvement
   
 
 
 
What is your idea of a good night out?
 
Visit to the theatre or opera
 
Romantic dinner for two
 
Karaoke at the local pub
 
Drinks and then clubbing
 
Watching a football game
 
 
 
Which of these would be your ideal holiday?
 
Activity-based, e.g. skiing
 
A luxury hotel in New York
 
Exploring the Far East
 
Lying on a beach in the sun
 
A cottage in the country
 
 
 
How would you best describe your character?
 
Shy and reserved
 
Expressive, open and chatty
 
Humorous, but hide feelings
 
Uncomplicated, easy-going
 
 
 
What are the most important characteristics in a partner?
 
Good looks and style
 
Loyal, kind, trustworthy
 
Sense of fun, love of life
 
Dynamic, successful
 
Passionate and adventurous
 
 
 
How would you describe your parents' marriage?
 
Up and down but good
 
They separated/divorced
 
Not close, but stayed together
 
Happy, affectionate, loving
 
Acrimonious, argumentative
 
 
 
What were your family's financial circumstances?
 
Affluent, plenty for all of us
 
Comfortable
 
Struggling, money was tight
 
Varied from lots to little
 
 
 
Choose three traits you least like in someone
 
Messiness
 
Infidelity
 
Unreliability
 
Meanness
 
Selfishness
 
No ambition
 
Poor dress sense
 
Negative attitude/sulkiness

 
 
 
Smoke?
 
Yes
 
No
 
 
 
Name
   
Address
   
Work Phone
   
Home Phone
   
 
Please contact [email protected] if you have any questions regarding this survey.
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