This free survey is powered by
  1. Surveys
  2. 2015
  3. May
  4. B
  5. Basic Questions
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.
 
 
 
 
Comments/Suggestions:
   
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
fifth
 
Other
 
 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club

 
 
 
How often do you conduct surveys?
 
 
 
Email address
   
 
 
 
Numeric Data
   
 
 
Contact Question type
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
Please drag and rank(1st to 3rd) the following in order of interest:
Drag your choices here to rank them
     
     
     
    Please rank (1-3) the following in order of interest:
    Skiing
    Snowboarding
    Biking
     
     
     
    Please allocate 100 points on how you spend your income:
    Essentials (Gas, Grocery etc.)
    Entertainment (Movies, Clubs etc.)
    Other
    0
     
     
    Please rate the following:
    Books
    Movies
    Music
     
     
     
    How satisfied are you with our services?
    Very Unsatisfied
    Unsatisfied
    Neutral
    Satisfied
    Very Satisfied
     
     
     
    What do you think of Starbucks?
    Love it
    Hate it
     
     
     
    How often do you conduct surveys?
    India
    Logo
     
     
     
    What types of credit cards do you have (Select all that apply)?
    4
    Logo
     
     
    How satisfied are you with the following:
    4
    samsung
     
     
    Please rate your video
    Comments
     
     
    Please rate your stay at our hotel
    Overall
     
     
     
    Descriptive / Spacer Text Here
     
     
     
     
    Descriptive / Spacer Text Here
     
     
     
    Descriptive / Spacer Text Here
     
     
     
    What is your date of birth?
    MonthDayYear
      
     
     
     
    Time and date
    MonthDayYearHrs.Mins.AM/PM
        
     
     
     
    MM dd yyyy
     
     
     
    What is your date of birth?
    DD MM YYYY
     
     
     
    What is your date of birth?
     
     
     
    Please verify by entering captcha text
       
     
     
     
    ImportanceSatisfaction
    Not ImportantVery Important
    Not SatisfiedVery Satisfied
    12345N/A12345N/A
    Customer Service
    Product Packaging
    On-Time Arrival
     
     
     
    This is header[left,right]Drop down scale
    yesno may be
    Product Packaging
    On-Time Arrival
    Price
     
     
     
    How likely would you be to recommend our products to a friend or colleague?
    «Very UnlikelyVery Likely»
    012345678910
     
     
    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
    Website
    -
    Customer Service
    -
    Overall
    -
     
     
     
    Search the location of your store
     
     
     
    Please select the state you live in.
     
     
    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.
     
     
    * Enter a valid zip code
     
     
     
    Upload your file below
     
     
     
    Please sign here
     
     
     
    Please scan QR code