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Sexo
 
Mujer
 
Hombre
 
 
 
¿Tienes hijos?
 
Si
 
No
 
 
 
¿Si la respuesta anterior es no, te gustaría tenerlos?
 
si
 
No
 
 
 
How interested are you in the following features of this service? Select all that apply.
 
{FEATURE 1}
 
{FEATURE 2}
 
{FEATURE 3}
 
{FEATURE 4}
 
{FEATURE 5}

 
 
 
Which of the following factors would increase your likelihood of purchasing our service? Select all that apply.
 
Better service quality
 
More benefits
 
Better customer service
 
Flexibility in time commitment
 
Discounts
 
Better payment plan

 
 
 
Are you currently engaged in a similar service with another organization?
 
Yes
 
No
 
Other
 
 
 
 
How often do you use this similar service?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
I do not use a similar service
 
 
Please indicate your level of satisfaction with your current service.
Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
{FEATURE 1}
{FEATURE 2}
{FEATURE 3}
{FEATURE 4}
{FEATURE 5}
 
 
 
Who makes the purchase decisions?
 
You
 
A family member
 
My business
 
Other
 
 
 
 
What features can we add to our service to better align it with your interests?
   
 
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