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| Did you receive this product as a gift? |
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| How did you first discover this product was available for purchase? |
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| What is the one reason you purchased this (product)? |
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| Primarily, for whom was this product purchased?
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| What are the ages of the children in your household? (Check all that apply)
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| What is your annual household income? |
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| The following is a list of product and service items. How satisfied are you with on each item?
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How long have you used [PRODUCT]?
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How often do you use [PRODUCT]?
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Overall, how satisfied are you with [PRODUCT]?
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Will you use/purchase [PRODUCT] again?
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Based on your experience with [PRODUCT], how likely are you to again buy a [Company Product]?
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| What would you like to tell [COMPANY] about your satisfaction with [PRODUCT] that was not already asked in the survey? | | |
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| What would be your main reason for buying the product? | | |
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Overall, what would be your most important factors in choosing a [Product Category]? Please check three.
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Other than the product itself, which of the following would most influence you when deciding to buy a [Product]?
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| Please check the one box that best indicates how descriptive the statement is of you.
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| Please check the one box that best indicates how descriptive the statement is of you.
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| What was the main reason you did not purchase (product)? |
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Did anyone else influence your buying decision?
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| If yes, how was the influential person related to you and what did they say or do that influenced you? | | |
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Are any of the following reasons why you did not purchase the product?
Choose all that apply: |
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| If you answered "Other," please describe the reason you did not purchase. | | |
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| What is it that you like most about the [Product/Service]? | | |
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| What do you like least about the [Product/Service]? | | |
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| About what would you expect to pay for a new [Product/Service] like the one described? (Nearest dollar) | | |
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| At what price would this new product begin to look inexpensive or cheap? Select one. |
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| At what price would this new product begin to look inexpensive or cheap? Select one. |
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At what price would the product begin to look too expensive? Select one.
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At what price would the product begin to look so expensive that you would never consider buying it?
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If you knew that the average price of [Product/Service] was $[Enter Price], would you expect to pay more or less to buy the described product/service?
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| Please indicate your agreement with each of the following statements.
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| Please indicate your agreement with each of the following statements.
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