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1. 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.
 
 
2. How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied 1 2 3 4 5 6 7 8 9 10 11 12 N/A 13 14 15 16 17 18 19 20
Website
Customer Service
Overall
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2
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4
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Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied 1 2 3 4 5 6 7 8 9 10 11 12 N/A 13 14 15 16 17 18 19 20
8
9
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13
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20
 
 
 
3. Please verify by entering captcha text
   
 
 
 
4. How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
5. Comments/Suggestions:
   
 
 
 
6. Please drag and rank(1st to 3rd) the following in order of interest:
Drag your choices here to rank them
     
     
    7. Please rate the following:
    Books
    Movies
    Music
     
     
     
    8. How satisfied are you with our services?
    Very Unsatisfied
    Unsatisfied
    Neutral
    Satisfied
    Very Satisfied
     
     
     
    9. What do you think of Starbucks?
    Love it
    Hate it
     
     
     
    10. Descriptive / Spacer Text Here
     
     
     
    11. What is your date of birth?
     
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