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Surveys
2012
April
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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]?
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.
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]
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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
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.
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 often do you use products from this [Service Category]?
Every day
More than once a week
Once a week
About every two weeks
Once a month
Every three months
Two-three times a year
Once a year
Less often
Never used
Please check the frequency in which you engaged in the following activities in the
past two months
. Check only one answer for each possible leisure activity.
Frequently
Occasionally
Seldom
Never
Not sure
Watching television
Playing adult games (for example, cards, mahhjong, etc.)
Walking for pleasure
Reading books for pleasure
Competing in team sports (for example, soccer, baseball, basketball, etc.)
Going on a family outing
Competing in individual sports (for example, tennis, ping pong, etc.)
Going out for the evening for drinks and entertainment
Bicycling
Going to the movies
Frequently
Occasionally
Seldom
Never
Not sure
Visiting art galleries and museums
Listening to music
Collecting or making something (for example, hobbies)
Swimming
Attending sports events
Attending opera, ballet or dance performances
Surfing the Web
Working on the computer
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