Survey Templates Surveys Gasoline Purchase Survey

Gasoline Purchase Survey

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I. General Habits

1. On average, how many times per month do you and/or your family purchase gas?

0-3 times

4-6 times

7-9 times

10 or more times

2. On average, how many different gas stations will you use during a month?

4 or more

3. Of the gas stations mentioned in question 2, how many are convenience store locations? (Please fill in the appropriate number)

3 or more

4. Of the gas stations mentioned in question 2, how many are hypermarket (wholesale clubs, supermarkets) locations? (Please fill in the appropriate number)

3 or more

5. When you purchase gasoline, do you generally purchase it:

On your way to work

On your way home from work

On an errand/shopping

When making a special trip to the gas station

6. When you go to a gas station, do you choose a station that is:

Close to where you shop

Close to your home

Close to your work

Wherever you are when you notice you need gasoline

7. Do you purchase gasoline from hypermarkets, such as Wal-Mart, Randall's or Costco?

Always

Frequently

Sometimes

Seldom

Never

8. Do you have a retail gasoline card(s) (i.e. one issued in the name of a gas station)?

Yes

9. What method of payment do you routinely use for purchasing gasoline?

Credit Card (Visa, Mastercard, Discover, American Express, etc.)

Retail Gasoline Credit Card

Cash

Check

II. General Opinions

10. When thinking of the gas station that you visit most often, what are the main services or reasons that you continue to purchase gas from this gas station? (Check all that apply)

Convenience of Location

Fuel Price

Method of Payment Options

Retailer Credit Card Preference

Availibility of Other Consumer Commodities

Frequent Purchaser Benefits

Availability of Mechanic Services

Availability of Car Cleaning Facilities

Safety

Particular Brand Preference

Diesel Offering

Friendly Service

Fast Service

Other

11. When choosing a location to purchase gas, how important is:

	Always Important	Sometimes Important	Rarely Important	Never Important
Convenience of location?	Always Important	Sometimes Important	Rarely Important	Never Important

Proximity to work or home?	Always Important	Sometimes Important	Rarely Important	Never Important

Cost per gallon?	Always Important	Sometimes Important	Rarely Important	Never Important

Payment options, such as pay-at-the-pump facilities?	Always Important	Sometimes Important	Rarely Important	Never Important

Restroom facilities?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of food items?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of beverages?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of other miscellaneious consumer products (papers, car care products, etc.)?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of loyalty incentive programs (special rebates on gasoline, etc.)?	Always Important	Sometimes Important	Rarely Important	Never Important

Availibility of on-site mechanic services?	Always Important	Sometimes Important	Rarely Important	Never Important

	Always Important	Sometimes Important	Rarely Important	Never Important
Availability of full service facilities?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of car cleaning services?	Always Important	Sometimes Important	Rarely Important	Never Important

Safety of the gas station?	Always Important	Sometimes Important	Rarely Important	Never Important

Particular brand preference?	Always Important	Sometimes Important	Rarely Important	Never Important

Availability of diesel?	Always Important	Sometimes Important	Rarely Important	Never Important

12. When purchasing gas at your favorite station, which of the following additional products do you purchase most frequently? (check all that apply)

Tobacco Products

Alcoholic Beverages

Soft Drinks

Milk

Lottery Tickets

Food Products

None of the above

13. Do you feel that gasoline sold at hypermarkets is of the same quality and clean-burning efficiency as retail gasoline stations?

Yes, it is similar in quality

No, it is of lesser quality

Unsure, never considered it

III. Shell Specific Questions

14. Are you familiar with Shell gas stations?

I have never heard of them

I have heard of them but never shop there

I occasionally buy gas/products at Shell

I prefer to buy gas/products at Shell

I use Shell exclusively

16. Please rate the quality of the various statements listed with the appropriate response to the right. Select your rating based on your experiences.

How would you rate Shell gas stations on:

	Very Poor	Fair	Average	Good	Excellent	No knowledge
Store cleanliness	Very Poor	Fair	Average	Good	Excellent	No knowledge

Store design and lay-out	Very Poor	Fair	Average	Good	Excellent	No knowledge

Quality of gasoline	Very Poor	Fair	Average	Good	Excellent	No knowledge

Availability of food items	Very Poor	Fair	Average	Good	Excellent	No knowledge

Friendliness of employees	Very Poor	Fair	Average	Good	Excellent	No knowledge

Efficiency of employees	Very Poor	Fair	Average	Good	Excellent	No knowledge

Availability of Shell stores	Very Poor	Fair	Average	Good	Excellent	No knowledge

Ease of gasoline purchases	Very Poor	Fair	Average	Good	Excellent	No knowledge

Price of gasoline	Very Poor	Fair	Average	Good	Excellent	No knowledge

	Strongly Agree	Agree	Neutral or Not Applicable	Disagree	Strongly Disagree
17. If you have previously shopped at a Shell gas station, would you shop at Shell in the future?	Strongly Agree	Agree	Neutral or Not Applicable	Disagree	Strongly Disagree

IV. Classification Data

18. Please indicate your gender:

Male

Female

19. Which of the following categories does your current age fall within?

Under 18

18-25

26-35

36-45

46-55

56-65

66 or older

20. Which one of the following categories best corresponds with your last completed year in school?

Some high school

Completed high school

Some college or technical school

Completed college (4-year degree)

Graduate studies or degree

Post-graduate studies or advanced degree

21. Which of the following categories does your total approximate household income (before taxes) fall within?

Under $24,999

$25,000-$34,999

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000+

22. What is your residence five digit zip code?

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Gasoline Purchase Survey

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