Survey Topic: "Sample"
Number of Questions: 20
Payment for Completing Survey: $50 USD
1. Please supply us with your
contact information:
Name:
Organisation:
Address:
City and State:
ZIP
Code:
E-mail:
2. Do you currently use any
"PRODUCT"?
Yes
No
Don't know
3. What brand of "PRODUCT" are
you currently using?
Brand 1
Brand 2
Brand 3
Brand 4
Brand 5
Other
4. How did you purchase this
"PRODUCT"?
Retail Store
Direct Mail
Catalog
Web
Company
Other
5. Are there features that this
product does not have that you would want out of a "PRODUCT"?
Yes
No
Don't know
6. What features does your
"PRODUCT" not have that you wish it did?
7. How much did you pay for your
"PRODUCT"?
8. How satisfied are you with
your "PRODUCT"?
Very
Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very
Dissatisfied
9. Of the following list of
features, please select the top three that would be of interest
to you:
Feature
1
Feature 2
Feature 3
Feature 4
Feature 5
Feature 6
10. Of the three features you
just listed, please rank them first, second and third in
importance to you:
1.
2.
3.
11. Are there any additional
features that would be of importance to you?
Additional Feature 1
Additional Feature 2
Additional Feature 3
Additional Feature 4
Additional Feature 5
12. Are there particular
features that a product must have for you to purchase it? Please
list what they are in order of importance:
Essential Feature 1
Essential Feature 2
Essential Feature 3
Essential Feature 4
Essential Feature 5
13. How much would you be
willing to pay for a product with these features ("LIST
FEATURES")?
14. If the "PRODUCT" was priced
at (price) how likely, on a percentage basis, would you be to
buy it? (0% = Not at all likely to buy, 100% = Completely likely to
buy)
15. How much are you willing to
spend on new products?
16. What do you think about the
price of this "PRODUCT"?
Extremely Low
Somewhat Low
Just
right
Somewhat High
Extremely High
17. Through what means would you
be most likely to purchase this "PRODUCT"?
Retail
Direct Mail
Mail
Order Catalog
Classified Advertisement
Telemarketer
18. Through what means would you
be least likely to purchase this "PRODUCT"?
Retail
Direct Mail
Mail
Order Catalog
Classified Advertisement
Telemarketer
19. What do you think would be a
good name for such a "PRODUCT"?
20. Can you please tell us which
one of the following possible product names you like the most?
Product 1
Product 2
Product 3
Product 4
Product 5
Thank you for taking the time to
complete this survey. Click on "Submit" to send your responses
to us.