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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
   
 
 
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]
Internal Data Structure Error
 
 
 
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 aware are you of the following companies that offer similar services? Please check all that apply.
 
Brand A
 
Brand B
 
Brand C

 
Please contact [email protected] if you have any questions regarding this survey.
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