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Surveys
2011
December
S
Survey Trial
Survey Trial
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1. Hello:
You are invited to participate in our survey Survey Trial using QuestionPro. In this survey, approximately 10 people will be asked to complete a survey that asks questions about he ease of responding to the survey. It will take approximately 5 minutes or less to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact me at by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below. Thanks for your help in deciding which online survey company to use. (Sorry about the template format, but I am trying to learn how to use QuestionPro.)
2. I find surveys like this to be
enjoyable to complete
something I tolerate but do anyway
something I seldom respond to
annoying
3. What types of credit cards do you have (Select all that apply)?
Visa
Mastercard
American Express
Discover
Diners Club
None of your business
4. This is an example of an open-ended question. What Christmas gift did you particularly enjoy giving?
5. How often do you respond to surveys?
-- Select --
Weekly
Monthly
Quarterly
Annually
Never
6. What is the largest jig-saw puzzle you have done?
-- Select --
500 pieces
1000 pieces
1500 pieces
2000 pieces
I don't do jig-saw puzzles
7. Please rank (1-3) the following in order of interest:
Gardening
-- Select --
1
2
3
4
Skiing
-- Select --
1
2
3
4
Biking
-- Select --
1
2
3
4
Reading
-- Select --
1
2
3
4
8. Please allocate 100 points on how you spend your time:
Work
Family time
Sleep
Church activities
Other
0
9. Contact Information
First Name
:
Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
*
Zip
:
*
Phone
:
*
Email Address
:
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