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Sample Survey Questionnaire: Instructions

This document contains a sample survey questionnaire to collect information from customers about their age, gender, role, business size, satisfaction with a product, what they like about the product, what motivated their purchase, and likelihood of future purchases. Respondents are asked to select options from provided choices or fill in blanks. The purpose is to gather feedback on a product and business from current and potential customers.

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Ujjwal Jain
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91 views2 pages

Sample Survey Questionnaire: Instructions

This document contains a sample survey questionnaire to collect information from customers about their age, gender, role, business size, satisfaction with a product, what they like about the product, what motivated their purchase, and likelihood of future purchases. Respondents are asked to select options from provided choices or fill in blanks. The purpose is to gather feedback on a product and business from current and potential customers.

Uploaded by

Ujjwal Jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Sample Survey Questionnaire

Instructions
Answer questions as they relate to you. For most answers, check the box(es) most
applicable to you or fill in the blanks.

About You

1. Your Age
(Select only one.)
17 or less
18-25
26-35
36-45
46-55
56-65
66-75
76 or more

2. Your Gender
(Select only one.)
Female
Male
Other

3. Your Role
(Select all that apply.)
Clerical
Sales
Design
Marketing
Executive
Other

About Your Business

4. How many employees are at your location?


(Select only one.)
1
10 or less
11-50
51-500
501-5000
5001 or more
About Your Usage of Our Product

5. How satisfied are you with our product?


(Select only one.)
Very Satisfied
Satisfied
Neither
Unsatisfied
Very Unsatisfied

6. What three things do you like most about our product?

7. What factors motivated you to purchase our product?


(Select all that apply.)
Price
Value
Brand Name
Recommendation
Readily Available
Other

8. How likely are you to buy from us again?


(Select only one.)
Very Unlikely
Unlikely
Neither
Likely
Very Likely

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