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2016
September
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Hello: 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. 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 for us 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 [Name of Survey Researcher] at [Phone Number] or 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
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Please select your rating for the following brands:
Toshiba
Samsung
Philips
How many months have you been at your current residence?
Please select the effectiveness of the following based on the supplement that you take:
cyanocobalamin
Very Dissatisfied
Not Satisfied
Neutral
Satisfied
Very Satisfied
Skin elasticity
Muscle flexibility
Alertness
Eyesight improvement
Please select if you are still consuming below beverages:
Milo
Nescafe Gold
Horlicks
Twinning Tea
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
Other
How satisfied are you with the following:
Overall
Thanks for the great rating, please share with your friends!
Please let us know what we could do better
Please let us know what we could do better
How often do you conduct surveys?
-- Select --
Weekly
Monthly
Quarterly
Annually
Please rank (1-3) the following in order of interest:
Drag your choices here to rank them
Skiing
Snowboarding
Biking
Where do you buy your monthly household groceries?
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