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  1. Surveys
  2. 2015
  3. June
  4. A
  5. All Questions Survey - Exclude randomization
0%
Exit Survey
 
 
Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
Single Select Q: How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
Other
 
 
 
 
Select Many Q: What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club
 
Other
 

 
 
 
Drop Down: How often do you conduct surveys?
 
 
 
Comments/Suggestions:
   
 
 
Single Select Matrix: How satisfied are you with the following:
Left Right
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
 
Name ( Single Row text)
   
 
 
 
Age ( Numeric Input Q)
   
 
 
 
Email Address
   
 
 
Checkbox Matrix Q: How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
Matrix Q: Single Select Drop Down: How satisfied are you with the following:
Website
Customer Service
Overall
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
 
Rank Order Q:
One
Two
Three
Four
Five
 
 
 
First half of the Section 1
 
 
 
 
Drag & Drop Q type:
Drag your choices here to rank them
     
     
     
    Constant Sum: Please allocate 100 points on how you spend your income:
    Essentials (Gas, Grocery etc.)
    Entertainment (Movies, Clubs etc.)
    Savings
    Medical- Health Insurance
    0
     
     
     
    Smiley Q type
    Very Unsatisfied
    Unsatisfied
    Neutral
    Satisfied
    Very Satisfied
     
     
    Star Q type
    Books
    Movies
    Music
     
     
     
    What is your date of birth?
    MonthDayYear
      
     
     
    Contact Information Q type
    First Name : 
    Last Name : 
    Address 1 : 
    Address 2 : 
    City : 
    State : 
    Zip : 
    Phone : 
    Email Address : 
     
     
     
    Advanced Qs
     
     
     
    ImportanceSatisfaction
    Not ImportantVery Important
    Not SatisfiedVery Satisfied
    12345N/A12345N/A
    Customer Service
    Product Packaging
    On-Time Arrival
     
     
     
    How often do you conduct surveys?
     
    Weekly
     
    Monthly
     
    Quarterly
     
    Annually
     
    Other
     
     
     
    Numeric Slider:
    Website
    -
    Customer Service
    -
    Overall
    -
     
     
    Categorical Slider
    Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
    Website
    -
    Customer Service
    -
    Overall
    -
     
     
     
    Image type - Single Select
     
     
     
    Image Q type - Select Many Q
     
     
    Image Rating Q:
     
     
     
    Upload your file below
     
     
    Please select an option from the drop down menu below. After selecting an option, another drop down list will be displayed below. Select an appropriate option from that list as well.
     
     
     
    NPS Q type
    «Very UnlikelyVery Likely»
    012345678910