We appreciate this opportunity and thank you for your consideration. We will get back to you within 24 hours!
|
|
1: How did you hear about us? |
| |
Please pick all that apply
Professional Market Research Organization Web Site or Blue Book
Search engine
Word of mouth
Other (specify)
|
| |
|
2: What is the purpose of your study/project? |
| |
Please write your answer in the box below:
|
| |
|
3: Who are the people you would like to survey? |
| |
Please write your answer in the box below:
|
| |
|
4: How many completed surveys would you like to have? |
| |
Please write your answer in the box below:
|
| |
|
5: Do you already have a list of people you would like surveyed ("sample")? |
| |
Yes
No
|
| |
|
6: If you have a list, how many people are on it? |
| |
|
| |
|
7: If you don't have a list, would you like our help in securing people to be surveyed? |
| |
Yes
No
|
| |
|
8: What type of study are you considering? |
| |
A One Time Hosted Web Survey
An Ongoing Web Survey (Tracking Study)
BBS (Bulletin Board Service)
Email Survey
Online Focus Group Room (with private client viewing)
Use of a Chat Room only (one screen where all can see and chat)
None, right now, just looking around
Other (specify)
|
| |
|
9: Approximately what is your budget range? This will help us to estimate what you can do within your budget! |
| |
Please pick only one of the following:
$500 - $1,500
$1,501 - $5,000
$5,001 - $10,000
$10,001 and up depending on specs
DK, don't want to say |
| |
|
10: About how many questions would you like to ask? |
| |
Please pick only one of the following:
1 - 10
11 - 25
26 - 40
41 - 50
50 + |
| |
11: Will you be *screening people before they take the survey or will all qualify?
*Accepting some and not others to take the survey |
| |
Please pick only one of the following:
All will qualify
Only some will qualify
DK yet |
| |
|
12: Will all questions need to be answered by each respondent? |
| |
Please pick only one of the following:
Yes, everyone gets asked the same questions.
No, some people get asked different questions?
DK yet |
| |
|
13: Will you need any large tables or grids of questions? |
| |
Please pick only one of the following:
Yes, will need tables, grids
No, will not need tables or grids
DK |
| |
|
14: Will you also need any of the following? |
| |
Please pick any that apply
Questionnaire Design and/or Formatting
Report of the Findings
Tabulation and/or Data Processing
Other (specify)
|
| |
|
15: Do you have any graphics or company logos that you would want to include in the survey |
| |
Please pick only one of the following:
Yes
No
DK yet |
| |
|
16: Personal Information: |
| |
|
| |
Submit your survey!
Thank you for completing this survey. |
|