Focus Group Recruitment Questionnaire Survey

Example questionnaire to recruit online focus group panel members based on certian criteria like -- (Education, Work etc.)



   
Hi:
I am with [MARKET_RESEARCH_COMPANY], a market research company based in [LOCATION]. We are conducting a survey about [SUBJECT] that might be of interest to you. We would like to include your opinions in this study. This is a marketing research study only, and we will not attempt to sell you anything at all today or in the future.

Thank you for your participation.
 
   
Do you or does any member of your household work for:
 
An advertising or public relations agency
 
A market research, strategic marketing or opinion company
 
The marketing or market research department of any company
 
A telemarketing firm
 
A food manufacturer or retailer
 
A software, hardware or multimedia company
 
Developer or manufacturer
 
Online retailer
 
E-commerce or web development company

 
   

Age
Which of the following best describes your age?
 
   

Employment
Do you work full time or part time, outside the home?
 
Full-time [35+ Hours per week]
 
Part-time [15-20 Hours per week]
 
Full-time homemaker
 
Retired
 
   

Education
Which of the following best describes the highest level of education completed?
 
Some High School
 
High School Graduate
 
Some College
 
Graduated College
 
Post Graduate
 
   
Family Status
Which of the following statements applies to you:
 
I have children under the age of 6 living at home
 
I have children between the ages of 6 and 17 living at home
 
I have no children under the age of 18 living at home
 
   
Online Services
a. Do you log on and use the Internet by yourself, without help, at either work or home?
 
Yes
 
No
   
b. How long have you been using the Internet, by yourself?
 
Less than 6 months
 
6 –-12 months
 
1 - 2 year
 
More than 2 years
   
c. How often do you use the Internet, not including email, by yourself, either at work or at home?
 
Less than one hour/week
 
1 –-2 hours/week
 
2-– 3 hours/week
 
More than 3 hours/week
   
d. On a scale of 1 to 5, with 1 being the least comfortable and 5 being the most comfortable, how comfortable and familiar are you using the Internet, including such things as links, site addresses, or search engines?
Least (1)
2 3 4 Most (5)
 
   
Computer Usage
When using the Internet, either at home or at work, which do you use more often?
 
IBM Compatible PC
 
Mac
 
   

Research Experience
Aside from political surveys, have you participated in any market research studies such as panel discussions, focus groups or surveys, in the last 12 months?
 
Yes
 
No
 
   
Thank you very much.
We are conducting a research study with people like yourself. The purpose of our research is to [PURPOSE]. No products or services will be offered or sold at this research session.

In order to show our appreciation, each participant in this study will be given $XX. *
Name *
   
Phone
   
Email Address *
   
 
   

Thank You for completing the Questionnaire... Your honest responses are truly appreciated.


Please click on the Finish Survey button to complete this Survey.