Product/Service Attitude Survey.

Please take a few minutes to fill out the form below. Thank you.

Please provide your contact information.(All fields are optional) Name   Telephone Number   E-mail Address   How familiar are you with the [Product/Service]? Use it regularly Have used it once Have heard of it, but never used Never heard of it Other   What is your primary usage of the [Product/Service]? At home At the office Other   Are you familiar with these related [Products/Services]? Please check all that apply. Product/Service 1 Product/Service 2 Product/Service 3 What related [Products/Services] are you using? Product/Service 1 Product/Service 2 Product/Service 3 Product/Service 4 What are the major factors that may influence your buying decision? Factor 1 Factor 2 Factor 3 How did you first hear about [Product/Service]? TV Newspaper Internet Radio Friend/relative Never heard of it Other   Have you ever considered buying [Product/Service] before? Yes No Other   Please rate the value for the price of the [Product/Service]. Excellent Very Good Good Fair Poor Please select the feature you consider to be the most important one about [Product/Service]. Feature 1 Feature 2 Feature 3 Comments How would you rate your overall experience using the [Product/Service]? Excellent Very Good Good Fair Poor Please rate the after-sale support you received from [Company]. Excellent Very Good Good Fair Poor Please enter any additional comments or ideas you would like to share with us. (optional) Would you like our Customer Care group to contact you additionally? Yes No

Add this sample to my Free Trial account