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Survey Template Library

 
Survey Name Consumer Product Registration
Description Consumer [PRODUCT] registration, demographics and purchase reason.
Category Product Surveys   (Browse All Categories)

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Are you:
 
   
 
Did you receive this [PRODUCT] as a gift?
 
   
 
How did you first discover this [PRODUCT] was available for purchase?
 
   
 
What is the one reason you purchased this [PRODUCT]?
 
   
Which store did you purchase this [PRODUCT] from?
 
 
   
How much did you pay for this [PRODUCT] (US dollars)?
 
 
   
 
How many total [COMPANY NAME] [PRODUCT]s do you own?
 
   
 
How many total [PRODUCT]s of any brand do you own?
 
   
 
How many total [COMPANY NAME] [PRODUCT]s have you purchased in the past 12 months?
 
   
 
How many total [PRODUCT]s of any brand have you purchased in the past 12 months?
 
 
   
 
Your age:
 
   
 
How many children 17 yrs. or younger live in your household?
 
 
   
What are the ages of the children in your household? (Check all that apply)
BoysGirls
Under 6 mos.
6-11 mos.
1 yr.
2 yrs.
3 yrs.
4 yrs.
5 yrs.
6 yrs.
7 yrs.
8 yrs.
13-17 yrs.
 


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