This free survey is powered by
  1. Surveys
  2. 2015
  3. October
  4. T
  5. test survey New UI 2
0%
Exit Survey
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
option 1
 
option 2
 
Other
 
 
 
Instructions/Header
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard 1
 
American Express
 
Discover
 
Diners Club
 
Other
 
 
SSasS

 
 
 
How often do you conduct surveys?
 
 
 
What types of credit cards do you have (Select all that apply)?
Visa SD
Mastercard ASD
AE ADASD
DC ADASD
 
 
 
How often do you conduct surveys?
Weekly
Monthly
Q DS
A ASD
 
 
How satisfied are you with the following:
1
2
3
4
 
 
 
How often do you conduct surveys? AS
 
 
 
Comments/Suggestions: ASD
   
 
 
 
Name SD
   
 
 
 
How many months have you been at your current residence? ASD
   
 
 
 
Email Address SDASD
   
 
 
How satisfied are you with the following:
Left AnchorRight Anchor
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied Answer 1 Answer 2 Answer 3 Answer 4 Answer 5 Answer 6 Answer 7 Answer 8 Answer 9 Answer 101 N/A
Website
Customer Service
Overall
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 101
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied Answer 1 Answer 2 Answer 3 Answer 4 Answer 5 Answer 6 Answer 7 Answer 8 Answer 9 Answer 1012 N/A
Website
Customer Service
Overall
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied Answer 1 Answer 2 Answer 3 Answer 4 Answer 5 Answer 6 Answer 7 Answer 8 Answer 9 Answer 101
Website
Customer Service
Overall
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 101
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
12345Other12345Other
Customer Service
Product Packaging
On-Time Arrival
 
 
How satisfied are you with the following:
Website
Customer Service
Overall
Option 1
Option 2
Option 3
Option 4
Option 5
Option 6
Option 7
Option 8
Option 9
Option 10
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied Answer 1 Answer 2 Answer 3 Answer 4 Answer 5 Answer 6 Answer 77 Answer 88 Answer 99 Answer 10 N/A
Website
-
Customer Service
-
Overall
-
Option 11
-
Option 21
-
Option 3
-
Option 4
-
Option 5
-
Option 6
-
Option 7
-
Option 8
-
Option 9
-
Option 10
-
 
 
How satisfied are you with the following:
Overall
 
 
How satisfied are you with the following:
Website
-
Customer Service
-
Overall
-
 
 
 
Please rank (1-3) the following in order of interest:
Drag your choices here to rank them
     
     
     
    What do you think of Starbucks?
    Love it
    Hate It
     
     
     
    How satisfied are you with our services
    Extremely Unsatisfied
    Unsatisfied
    Neutral
    Satisfied
    Extremely Satisfied
     
     
     
    Please rank (1-3) the following in order of interest:
    Skiing
    Snowboarding
    Biking
     
     
     
    Please allocate 100 points on how you spend your income:
    Essentials (Gas, Grocery etc.)
    Entertainment (Movies, Clubs etc.)
    Other
    0
     
     
     
    What is your date of birth?
     
     
    Contact Information
    Email Address : 
     
     
     
    Select Captcha and Verify 1
       
     
       
     
     
     
    What is your date of birth? 1
     
     
     
    Considering your complete experience with our company, how likely would you be to recommend our products to a friend or colleague? 1
    «Very UnlikelyVery Likely»
    012345678910
     
     
    At what price would you consider the Product 1
    $1000 - $12000 $1200 - $15000 $1500 - $25000 $2500 - $35000 $3500 - $50000
    At what price is the product too expensive to consider? (Too Expensive)
     
    At what price is the product so cheap that the product quality is questionable? (Too Inexpensive)
     
    At what price does the product begin to seem too expensive? (Expensive)
     
    At what price is the product a bargain? (Inexpensive)
     
     
     
    For each transportation category in the table below, please indicate what percentage, if any, of the need you would fund 1
    Total Needed
    PER YEAR    		Cost to
    Fund 100%
    PER MONTH
    Preservation and maintenance of existing transport system
    -
    		 1000.0 10
    Adding new lanes and expanding road and bridge capacity
    -
    		 2000.0 20
    Increasing transit service and expanding passenger and freight rail
    -
    		 3000.0 30
    Making bike and sidewalk improvements
    -
    		 4000.0 40
    Replacing obsolete ferries and improving ferry terminals
    -
    		 5000.0 50
     
     
     
    Descriptive/Spacer Text Here 1
     
     
     
     
    Descriptive/Spacer Text Here 1
     
     
    Step 1 of 1
    For each of the questions below, please choose your most and least preferred option
    MostLeast
    Visa
    Mastercard
    Discover
    American Express
    o1
    o1
    o1
    o1
    2
     
    Step 1 of 2
    If you were to buy a TV, select the most likely feature set you would go with:
    Brand LG Sony
    PriceUSD 800.00USD 800.00
    Size32''36''
     
     
    TubePulse
     
    1
    6
     
     
       
       
       
      Please drag/ crop the area of your interest on the image:
       
       
       
      Please like/dislike predefined selected areas on the image considered for Hot Spots:
       
       
       
       
      How much time does it take you to shop for groceries?
         
       
       
       
      Please scan the Barcode.
         
       
       
       
      Please scan QR code
       
      		 
       
       
       
      Upload your file below
       
       
       
      Enter in your salary:
      Base $
      Bonus/Commission $
       
       
      Please enter in info to join the community
      First Name : 
      Last Name : 
      Email Address : 
       
       
      Enter a valid zip code
       
       
      Please select an option from the drop down menu below. After selecting an option, another drop down list will be displayed below. Select an appropriate option from that list as well.
       
       
       
      Rating ScaleDrop Down Menu Vertical Attribute ChoiceVertical Attribute (Multi-Select Checkbox) Numeric Text InputComment Box Interactive Slider (Horizontal) Rank Order
      123
      Product Packaging
      On-Time Arrival
      Price
       
      Footer is added