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Exit Survey
 
 
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.

mjnnkm
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.
 
 
 
 
* Name plezsa
   
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
How often do you shop
 
Weekly
 
30 day
 
Quarterly
 
Annually
 
never
 
 
 
Please choose your favorite ice cream flavor:
Strawberry
Butterscotch
 
 
always rare often never
* fun
* food
* movie
* travel
 
 
 
Please choose your favorite ice cream flavor:
Strawberry
Butterscotch
 
 
 
How often do you conduct surveys?
Weekly Monthly Quarterly Annually
 
thanks