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How often could you find a use for this [Product/Service]?

Once a week or more often

2-3 times a month

Once a month

Every 2-3 months

2-3 times a year

Once a year

Do not use

Based on the description, how interested would you be in buying this new [Product/Service] if priced within your budget?

What is it that you like most about the [Product/Service]?

Which of the following best describes your need for this product?

I really need this product because nothing else can solve this problem.

This is a minor improvement over what I currently use.

Looks okay but is about the same as what I'm using now.

My current product would serve me better.

I am not at all interested in this product.

Select the rating that best describe how you feel about this service.

Please read the following description of a new service concept in order to complete the survey.

[ENTER A DESCRIPTION OF THE SERVICE HERE]

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After reading the above service description, how interested would you be in using the described service?

Not at all interested

Not very interested

Neither interested nor uninterested

Somewhat interested

Extremely interested

Overall, how interested are you in buying this service?

Not at all interested

Not very interested

Neither interested nor uninterested

Somewhat interested

Extremely interested

Based on the description, what price would you expect to pay for the service? Please record one number, not a range.

Which groups of people do you expect to be the greatest users of this service? Please check three (3).

How often do you use products from this [Service Category]?

Please check the frequency in which you engaged in the following activities in the past two months. Check only one answer for each possible leisure activity.