App compatible question types

How often do you conduct surveys?

Email Address

How satisfied are you with the following:

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Website

Customer Service

Overall

Please rank (1-3) the following in order of interest:

Skiing
Snowboarding
Biking

Please drag and rank(1^st to 3^rd) the following in order of interest:

	Drag your choices here to rank them
Skiing Snowboarding Biking

Please allocate 100 points on how you spend your income:

Essentials (Gas, Grocery etc.)

Entertainment (Movies, Clubs etc.)

Other

0

How satisfied are you with our services?

Please rate the following:

Books

Movies

Music

This is presentation text type question - can be used to provide instructions within the survey

Section Heading Type

What is your date of birth?

First Name :

Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

How satisfied are you with the following:

Website

-

Customer Service

-

Overall

-

How often do you conduct surveys?

Please select the state you live in.

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.

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How likely would you be to recommend our products to a friend or colleague?

«Very Unlikely						Very Likely»
0	1	2	3	4	5	6	7	8	9	10