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Hello:
You are invited to participate in our survey. It will take approximately 5 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 Piedmont Seafood Resturant at 866-555-5555.

Thank you very much for your time and support.

 
 
 
What is your primary concern when dinning at a resturant?
 
Price
 
Resturant Atmosphere & Cleanliness
 
Resturant Staff
 
Menu Items
 
Family Atmosphere

 
 
 
How often do you dine at seafood resturants?
 
Daily
 
Several times a week
 
Once a week
 
Several times a month
 
Once a month
 
Several times a year
 
Once a year or less often
 
Visited only once
 
Do not visit

 
 
 
Is fresh sea food (flown in daily) important to you?
 
Yes
 
No
 
 
 
What is a resonable price for a childs meal?
 
Under 5.00
 
5.00-6.00
 
6.00-7.00
 
7.00-8.00

 
 
 
What is a resonable price for an adult sea food meal during the lunch hour?
 
Under 10.00
 
10.00-12.00
 
12.00-14.00
 
14.00-16.00
 
16.00-18.00
 
18.00-20.00
 
Above 20.00

 
 
 
What is a resonable price for an adult sea food meal during the dinner hour?
 
Under 10.00
 
10.00-12.00
 
12.00-14.00
 
14.00-16.00
 
16.00-18.00
 
18.00-20.00
 
Above 20.00

 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age range?
 
20 and younger
 
21-25
 
26-35
 
36-45
 
46-55
 
56-65
 
66 and older

 
 
 
What is your annual income?
 
Under $30,000
 
$30,000 to $39,999
 
$40,000 to $49,999
 
$50,000 to $79,999
 
$80,000 to $99,999
 
$100,000 to $149,999
 
$150,000 and up

 
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