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How familiar are you with [PRODUCT]?
 
Never heard of it
 
I am aware but have never used it
 
Use it only sometimes
 
Use it on a regular basis
 
 
 
Which of these [GENERIC_PRODUCT] have you used?
 
[ENTER BRAND 1]
 
[ENTER BRAND 2]
 
[ENTER BRAND 3]
 
[ENTER BRAND 4]
 
[ENTER BRAND 5]
 
[ENTER BRAND6]
 
Other
 
 
 
 
How did you first hear about [PRODUCT]?
 
TV
 
Radio
 
Magazine
 
Newspaper
 
Internet
 
Friend/relative/associate
 
Haven't heard of it before
 
Not sure
 
Other
 
 
 
 
Overall, how do you rate the quality of [PRODUCT]?
 
Poor
 
Fair
 
Good
 
Very Good
 
Excellent
 
 
 
What is it that you would most like to change about [PRODUCT]?
   
 
 
 
Would you recommend [PRODUCT] to a friend or associate?
 
Definitely Not
 
Probably Not
 
Not sure
 
Probably
 
Definitely
 
 
 
When was the last time you used [PRODUCT]?
 
Under 1 month
 
1 to 6 months
 
6 months to 1 year
 
Not sure
 
Other
 
 
 
 
How often do you buy [PRODUCT]?
 
Once per week or more often
 
2 to 3 times per month
 
Once per month
 
Once every 2-3 months
 
Once or twice a year
 
Less than once a year
 
Not sure
 
 
 
How likely are you to buy [PRODUCT] in the future?
 
Very Unlikely
 
Somewhat Unlikely
 
Not sure
 
Somewhat likely
 
Very likely