Survey Topic: Sample Number of Questions: 20 Payment
for Completing Survey: $20 USD
1. Please supply us with your contact
information:
Name:
Organization:
Address:
City and State:
ZIP Code:
E-mail:
2. Do you currently use any Gillerine
Megachromite (fake product used as example only)?
Yes No
Don't know
3. What brand of baseboard cleaner are
you currently using?
Brand 1 Brand 2 Brand 3 Brand 4 Brand 5 Other
4. How did you purchase this product?
Retail Store Direct Mail Catalog Web Company Other
5. Are there features that this product
does not have that you would want out of Gillerine Megachromite?
Yes No Don't know
6. What features does Gillerine Megachromite
not have that you wish it did?
7. How much did you pay for your Gillerine
Megachromite"?
8. How satisfied are you with this product?
Very Satisfied Somewhat Satisfied Somewhat
Dissatisfied Very Dissatisfied
9. Of the following list of features,
please select the top three that would be of interest to
you:
Feature 1
Feature 2
Feature 3
Feature 4
Feature 5
Feature 6
10. Of the three features you just
listed, please rank them first, second and third in importance to
you: 1. 2. 3.
11. Are there any additional features
that would be of importance to you? Additional Feature 1
Additional Feature 2 Additional Feature 3 Additional Feature 4 Additional Feature 5
12. Are there particular features that a
product must have for you to purchase it? Please list what they are
in order of importance: Essential Feature 1 Essential Feature 2 Essential Feature 3 Essential Feature 4 Essential Feature 5
13. How much would you be willing to pay
for a product with these features ("LIST FEATURES")?
14. If the Gillerine Megachromite was
priced at $1.99 how likely, on a percentage basis, would you be
to buy it? (0% = Not at all likely to buy, 100% = Completely
likely to buy)
15. How much are you authorized to spend
on new products?
16. What do you think about the price
of this product?
Extremely Low Somewhat Low Just right Somewhat
High
Extremely High
17. Through what means would you be
least likely to purchase this product?
Retail Direct Mail Mail Order Catalog Classified
Advertisement Telemarketer
18. Through what means would you be
least likely to purchase this product?
Retail Direct Mail Mail Order Catalog Classified
Advertisement Telemarketer
19. What do you think would be a good
name for such a product, rather than Gillerine Megachromite? Really!
Please help us. We need help!
20. Can you please tell us which one of
the following possible product names you like the
most?
Product 1
Product 2
Product 3
Product 4
Product 5
Thank you for taking the time to complete
this survey. Select Submit Survey now to send your responses to
us.