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2013
June
A
Andies Test
Andies Test
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INTRO TEXT
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.
I Agree
*
How old are you
12-18
18-25
25-30
30-35
35-40
40-45
45-50
55-60
60+
Where do you do most of your shopping (excluding Groceries)
Local stores
Out of Southland
Online
*
How much do you spend on shopping each month (excluding Groceries)
Less than $100
$100-$200
200-$500
$500+
What statement best describes your household
2 adults no children
More than 2 adults no children
2 adults with child/children
1 adult with child/children
What best describes your combined household income
20k - 40k
40k -60k
60 - 80k
90k - 100k
100 - 120k
120 - 140k
140 - 160k
160k +
Last one! So we can contact you if you qualify for our focus group, please let us know how you would like to be contacted and provide your details in the OTHER box below.
Phone
Email
Other
Here we can write whatever we want....... hum what to write
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