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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] 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 [Name of Survey Researcher] at [Phone Number] 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 clicking on the Continue button below.

 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
 
What is the highest level of education you have achieved?
 
Less than high school degree
 
High school degree or equivalent (e.g. GED)
 
Some college but no degree
 
Associate degree (e.g. AA, AS)
 
Bachelor's degree (e.g. BA, AB, BS)
 
Master's degree (e.g. MA, MS, MBA)
 
Professional degree (e.g. MD, DDS, JD)
 
Doctorate degree (e.g. PhD)
 
 
 
Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
Which category best describes your annual income?
 
Under $15,000
 
$15,000 - $29,999
 
$30,000 - $44,999
 
$45,000 - $59,999
 
$60,000 - $74,999
 
$75,000 - $89,999
 
$90,000 - $104,999
 
$105,000 - $119,999
 
$120,000 or more
 
Prefer not to answer
 
 
 
How many children do you have?
 
no children
 
1 child
 
2 children
 
3 children
 
more than 4 children
 
 
 
What is your favorite hobby or interest?
 
Auto racing
 
Biking
 
Boating
 
Bowling
 
Camping
 
Crafts
 
Dancing
 
Fine Arts
 
Fishing
 
Gambling
 
Gardening
 
Hiking
 
Hunting
 
Horseback riding
 
Kayaking
 
Martial Arts
 
Music
 
Photography
 
Reading
 
Sports
 
Travel
 
Other
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
Comment:
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
How likely are you to continue doing business with us?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How do we rate in comparison to other companies that offer the same products?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
How likely you would recommend our products to a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How often would you like to receive our newsletter?
 
Weekly
 
Every two weeks
 
Monthly
 
Quarterly
 
Semi-annually
 
Annually
 
 
 
How much of our newsletter do you read?
 
A quarter or less
 
From a quarter to half
 
Half to three-quarters
 
More than three-quarters
 
 
 
What is your overall satisfaction with the newsletter?
 
Very satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
 
How relevant do you find the information in the newsletter?
 
Very relevant
 
Somewhat relevant
 
Neutral
 
Somewhat irrelevant
 
Very irrelevant
 
 
 
How satisfied were you with your last interaction with our company?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How helpful is our company with your needs or questions?
 
Extremely helpful
 
Very helpful
 
Moderately helpful
 
Slightly helpful
 
Not at all helpful
 
 
 
How does our service quality compare to services offered by our competitors?
 
Much better
 
Slightly better
 
About the same
 
Slightly worse
 
Much worse
 
 
 
In general, how satisfied are you with the employees you interacted with?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How knowledgeable were the customer service representatives you interacted with?
 
Extremely knowledgeable
 
Very knowledgeable
 
Moderately knowledgeable
 
Slightly knowledgeable
 
Not at all knowledgeable
 
 
 
How likely are you to recommend our company?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How likely are you to use our company again in the future?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How long did you have to wait before a customer service representative was able to help you?
 
Extremely long
 
Very long
 
Moderately long
 
Slightly long
 
Not at all long