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1. During this survey you may be shown confidential information. Do you agree not to disclose to any other person or entity any of the information provided to you in this study? By selecting ‘Accept’ below, you signify that you understand and agree with these terms. |
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| 2. What is your 5-digit ZIP code? | | |
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Today we will be asking you about places that offer (INSERT PRODUCT/SERVICE). |
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| 4. When thinking of places that offer (INSERT PRODUCT/SERVICE), what one place comes to mind first? | | |
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5. What other places that offer (INSERT PRODUCT/SERVICE) come to mind? |
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6. Which of the following online sites that sell (INSERT PRODUCT/SERVICE) have you heard of? |
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7. Which of the following offline/physical locations that sell (INSERT PRODUCT/SERVICE) have you heard of? |
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8. Regardless of whether you made a purchase, in the past 3 months, at what online places have you visited for (INSERT PRODUCT/SERVICE)? |
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9. Regardless of whether you made a purchase, in the past 3 months, at what offline/physical places have you visited for (INSERT PRODUCT/SERVICE)? |
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10. About how often do you buy (INSERT PRODUCT/SERVICE)? |
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11. In the past 3 months, where have you bought (INSERT PRODUCT/SERVICE)? |
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12. Please enter the number of (INSERT PRODUCT/SERVICE) you bought at each place in the past 3 months |
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13. How likely are you to recommend each place for (PRODUCT/SERVICE)?
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14. Which one of these do you buy (INSERT PRODUCT/SERVICE) most often? |
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15. How satisfied are you with (INSERT PLACE MOST in Q12)?
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16. Would you recommend (INSERT PLACE MOST in Q12)?
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17. Please click on the button in the scale shown to rate (INSERT PLACE MOST in Q12).
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18. Please use the scale to tell us how important each attribute is in choosing between places for (INSERT PRODUCT/SERVICE).
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We are now interested in hearing about your opinions about a brand called (INSERT YOUR BRAND). This brand has been randomly selected for you. Other participants will be asked about other brands. |
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20. Have you ever heard of (INSERT YOUR BRAND)? |
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| 21. How would you describe (INSERT YOUR BRAND) to someone who has never heard of them? | | |
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| 22. How would you describe the type of person that visits (INSERT YOUR BRAND)? | | |
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23. Would you say the person you just described is… |
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24. Based on anything you have seen, heard, read or experienced about (INSERT YOUR BRAND), how likely are you to recommend (INSERT YOUR BRAND) for (INSERT PRODUCT/SERVICE)?
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25. In the next 3 months, how likely are you to visit (INSERT YOUR BRAND) when shopping for (INSERT PRODUCT/SERVICE)?
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26. Have you ever bought (INSERT CATEGORY) at (INSERT YOUR BRAND)? |
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27. Were you aware that (INSERT YOUR BRAND) offered (INSERT CATEGORY)? |
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28. Please click on the button in the scale shown to rate (INSERT YOUR BRAND).
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31. In [INSERT LAST YEAR], what was your total annual household income? |
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32. What is the highest level of education you had the opportunity to complete? |
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33. What is your current employment status? |
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34. What language(s) do you primarily speak at home? |
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35. Please indicate your race. |
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36. Please indicate your ethnicity. |
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37. What is your current relationship status? |
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| 38. What is your 5-digit ZIP code? | | |
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