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2012
November
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QUESTIONNAIRE
ON CUSTOMER SATISFACTION
Name of the customer :
Address :
Contact No. :
E-mail id :
1.Is Health Drink consumed in your family?
Yes
No
2.What is the size of the family?
2
3
4
>5
3.What is the average annual income of the family?
Rs. 200,000 – 400,000
Rs. 400,000 – 600,000
>Rs. 600,000
4.What is the number of children in your family?
0
1-2
>2
5.Which health food drink have you been consuming?
Boost
Bournvita
Complan
Horlicks
Pediasure
6.How did you come to know about this health drink?
Commercial advertisements
Reference from friends
Internet
7.Please rate the importance of the following purchase considerations on a scale of 1(Least important) to 5 (Highly Important)?
Nourishment
Colour
Economy
Shelf-presence
Packaging
Brand Image
Promotions
8.Please rate the following sources of information useful for purchase decision on a scale of 1 to 5?
Advertisement
Children
Doctor
Family
Past experience
Retailer
Word of mouth
10.How often do you switch your health food drink?
Never
Sometimes
Frequently
11. How long have you been using this particular health supplement?
Less than 1 year
1-2 years
More than 3 years
12. What do you do when your desired brand of health food drink is not available?
Go to another place to buy the product.
Purchase another brand of health food drink.
Ask the retailer to buy it for you.
13. In case of a rise in price of the product, will you still consider buying the same supplement?
Yes
No
Perhaps
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