Example Survey

Hello:
You are invited to participate in our survey. In this survey, approximately 10 people will be asked to complete a survey that asks questions about random questions . It will take approximately 2 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 Julie Cossin at 404-760-7989 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 agreeing to our terms and clicking on the Continue button below.

I Agree

Personal Information

Please Provide the following Information

Name :

Company :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

Questions

How often do you conduct surveys?

Please rank (1-3) the following in order of interest:

Skiing
Snowboarding
Biking

How satisfied are you with the following:

Please rate the following:

Books

Movies

Music

How satisfied are you with this survey?

Thank you for participating in our survey. Your response has been recorded.
If you have any questions please contact Julie Cossin at [email protected].