Consumer Product Registration Survey Template

Consumer Product Purchase Survey Template by QuestionPro consists of questions about registration information, purchase reason, demographic details etc. This questionnaire is formed by market experts and can be edited as per application. By using the sample, marketers can gain meaningful information from their target audience which in turn can benefit their products and services. Using the examples of questions mentioned in the template, surveys can be sent to a list of respondents.



   
 
Are you:
 
Male
 
Female
 
   
 
 
   
 
   
 
Did you receive this product as a gift?
 
Yes
 
No
 
   
 
How did you first discover this product was available for purchase?
 
Advertising - TV, newspaper, magazine, radio
 
Ad in another (product) - brochure, preview
 
Friends/Family/Someone told me about it
 
Read a magazine article/review
 
Saw it in the store/Browsing in store
 
Through the mail/mail catalog
 
Other
 
 
   
 
What is the one reason you purchased this (product)?
 
Someone asked for it
 
Makes a great gift
 
Own other (products) and wanted more
 
It is a classic
 
Good for the whole family
 
Saw it in the store
 
I like the (product)
 
Price/Good value
 
Other
 
 
   
 
 
   
 
   
 
 
   
 
   
Primarily, for whom was this product purchased?
Male Female
2 yrs. or younger
3-5 yrs.
6-8 yrs.
9-12 yrs.
13-17 yrs.
18-24 yrs.
25-34 yrs.
35-44 yrs.
45-54 yrs.
55+ yrs.
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
Your age:
 
12 yrs. or younger
 
13-17 yrs.
 
18-24 yrs.
 
25-34 yrs.
 
35-44 yrs.
 
45-54 yrs.
 
55-64 yrs.
 
65+ yrs.
 
   
 
 
   
 
   
What are the ages of the children in your household? (Check all that apply)
Boys Girls
Under 6 mos.
6-11 mos.
1 yr.
2 yrs.
3 yrs.
4 yrs.
5 yrs.
6 yrs.
7 yrs.
8 yrs.
13-17 yrs.
11 yrs.
12 yrs.
9 yrs.
10 yrs.
 
   
 
What is your annual household income?
 
Below $20,000
 
$20,000-$29,999
 
$30,000-$39,999
 
$40,000-$49,999
 
$50,000-$74,999
 
$75,000-$99,999
 
$100,000-$149,999
 
$150,000+
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 
   
 
 
   
 

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