This free survey is powered by
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Questions marked with an * are required Exit Survey
 
 
Standard Question Types
 
 
 
Multiple Choice
 
 
 
Multiple Choice (Select One):
 
Option1
 
Option2
 
Option3
 
Option4
 
 
 
* Multiple Choice (Select One- Validated)
 
Option1
 
Option2
 
Option3
 
Option4
 
 
 
Multiple Choice (Select One- Randomized)
 
Option1
 
Option2
 
Option3
 
Option4
 
 
 
Multiple Choice (Select Many):
 
Option1
 
Option2
 
Option3
 
Option4

 
 
 
* Multiple Choice (Select Many- validated):
 
Option1
 
Option2
 
Option3
 
Option4

 
 
 
Multiple Choice (Select Many- randomized):
 
Option4
 
Option3
 
Option1
 
Option2

 
 
 
Multiple Choice (Drop Down)
 
 
 
* Multiple Choice (Drop Down- validated)
 
 
 
Multiple Choice (Drop Down- randomized)
 
 
 
Open Ended Text
 
 
 
Comment Box
   
 
 
 
* Comment Box (Validated)
   
 
 
 
Single Row Text
   
 
 
 
* Single Row Text (Validated)
   
 
 
 
Numeric Input
   
 
 
 
* Numeric Input (Validated)
   
 
 
 
Email Address
   
 
 
 
* Email Address (Validated)
   
 
 
 
Matrix Table
 
 
Multi-Point Scales:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
Multi-Point Scales (Validated):
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
* Website
* Customer Service
* Overall
 
 
Multi-Point Scales (Randomized):
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Overall
Customer Service
Website
 
 
Multi-Point Scales (Check-box)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
Multi-Point Scales (Check-box- Validated)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
* Website
* Customer Service
* Overall
 
 
Multi-Point Scales (Check-box- Randomized)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Customer Service
Overall
Website
 
 
Spreadsheet Matrix
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
Spreadsheet Matrix (Validated)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
* Website
* Customer Service
* Overall
 
 
Spreadsheet Matrix (Randomized)
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
Miscellaneous
 
 
 
Rank Order
Option1
Option2
Option3
 
 
 
* Rank Order (Validated)
Option1
Option2
Option3
 
 
 
Rank Order (Randomized)
Option2
Option1
Option3
 
 
 
Constant Sum:
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
 
* Constant Sum (Validated)
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
Values must add up to 100
 
 
 
Constant Sum (Randomized)
Entertainment (Movies, Clubs etc.)
Essentials (Gas, Grocery etc.)
Other
 
 
 
Date Question
 
 
 
* Date Question(Validated)
 
 
 
Date / Time Question
MonthDayYear
  
 
 
Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
Contact Information (Validated)
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Phone : 
* Email Address : 
 
 
 
Advanced Question Types
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
Customer Service
Product Packaging
On-Time Arrival
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
* Customer Service
* Product Packaging
* On-Time Arrival
 
 
How satisfied are you with the following:
Website
-
Customer Service
-
Overall
-
 
 
How satisfied are you with the following(Validated)
* Website
-
* Customer Service
-
* Overall
-
 
 
 
How often do you conduct surveys?
Logo
Logo
 
 
 
* Image Chooser (Single Select- Validated)
Logo
Logo
 
 
 
Image Chooser (Single Select- Randomized)
Logo1
Logo2
 
 
 
Image Chooser (Check-box)
Logo
Logo

 
 
 
* Image Chooser (Check-box- Validated)?
Logo
Logo

 
 
 
Image Chooser (Check-box- Randomized)
Logo1
Logo2

 
 
Image Chooser (Drop-down)
Logo
Logo
 
 
* Image Chooser (Drop-down- validated)
Logo
Logo
 
 
Image Chooser (Drop-down- Randomized)
Logo
Logo
 
 
* Enter a valid zip code
 
 
 
Attach/Upload File
 
 
 
* Attach/Upload File (Validated)
 
 
 
Net Promoter Score
«Very UnlikelyVery Likely»
012345678910
 
 
 
* Net Promoter Score (Validated)
«Very UnlikelyVery Likely»
012345678910