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2015
June
M
Market Research Questionnaire #1
Market Research Questionnaire #1
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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.
Part One: Demographics
What is your gender?
Male
Female
Prefer not to say
What is your age?
What city and country do you live in?
What is your ethnicity?
White/Caucasian
Hispanic/Latino
Black/African American
First Nations/Native/Inuit
East Asian
South Asian
Other
What is your highest education level completed?
Less than High School
High School
Vocational School
College
Graduate School
Post Graduate School/Specialty
What is your household income?
Less than $20,000
$20,001 - $50,000
$50,001 - $75,000
$75,001 - $100,000
$100,001 - $150,000
More than $150,000
Part Two: Consumer Behaviour
Where do you shop? (select all that apply)
Farmers Market
Local small independent grocer
Natural food grocer (Eg. Whole foods, Nature’s Fare)
Traditional grocer; (Eg. Wal-Mart, Superstore, Safeway)
Online natural/organic/sustainable provider
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