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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 Continue button below.

 
 
 
 
Answer this
 
Happy
 
Sad
 
Doc
 
Sneezy
 
Other
 
 
 
 
Comments/Suggestions:
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
-
Customer Service
-
Overall
-
 
 
How satisfied are you with the following staff:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Bryan
Stephen
Kay
Ellen
 
 
 
How often do you conduct surveys?
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
London
Paris
Tokyo
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Indiana
Florida
Canada
 
 
 
Please rank (1-3) the following in order of interest:
Skiing
Snowboarding
Biking
 
 
 
Please allocate 100 points on how you spend your income:
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
 
What is your date of birth?
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
Quality of Shows
Friendliness of Ushers
Starting the show on time
 
 
Enter a valid zip code
 
 
 
Upload your file below
 
 
 
Considering your complete experience with our company, how likely would you be to recommend our products to a friend or colleague?
«Very UnlikelyVery Likely»
012345678910
 
 
Please select an option from the drop down menu below. After selecting an option, another drop down list will be displayed below. Select an appropriate option from that list as well.
 
 
Step 1 of 1
For each of the questions below, please choose your most and least preferred option
MostLeast
Visa
Mastercard
Discover
American Express
 
 
 
Where do you conduct surveys?
 
 
 
How satisfied are you with our services
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
 
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