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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.

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Do you pay multiple bills with multiple different due dates throughout the month?
 
 
 
Roughly how many bills do you have each month?
 
 
 
Would you benefit from only having to worry about making one payment each month to cover all bills?
 
Yes
 
No
 
Undecided
 
 
 
Would you be interested in learning more about a service that pays all your bills for you through-out the month, and then you pay a single payment on a scheduled date and receive a single report on all your bills.
 
Yes
 
No
 
 
 
How much would you pay for this service?
   
 
 
 
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