Purchasing on the Internet Survey Template

Online purchase habits survey to see if users have purchased, what they purchased from, what they spent.



   
 
In the past three months, have you purchased products or services through the Internet, for your personal use?

 
Yes
 
No
 
Other (Please Specify)
    
 
   
 
Please check the product or service category you most recently purchased.
 
Books
 
Financial services
 
Computer equipment
 
CDs
 
Other
 
   
Thinking back to the Internet retailers you've purchased from, have you ever:
Yes No
provided feedback on the product or services they sell
completed a survey for that Internet retailer
communicated with other users via e-mail or chat rooms
 
   
 
When you began shopping on this occasion, were you:
 
Just surfing the net
 
Intending to make a purchase
 
Other
    
 
   
 
How much did you spend on this transaction?
 
Less than $25
 
$26-$50
 
$51-$75
 
$76-$100
 
Between $100-200
 
Other
    
 
   
 
Did you return the merchandise or cancel the service after you received it?
 
Yes
 
No
 
   
 
Did you contact the customer service department of this Internet retailer with a complaint or problem?
 
Yes
 
No
 
   
 
How much would you estimate you have spent with this Internet retailer in the past twelve months?
 
less than $50
 
$51-$100
 
$101-$150
 
$151-$200
 
more than $200
 
   
 
How many transactions have you made with this Internet retailer over the past 12 months?
 
1
 
2
 
3
 
4
 
5
 
6
 
Other
    
 
   
 
Thank you for your participation.
 

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