Product/Services Design & Customer Requirements

Important Survey Set-Up Tips:

1. To ensure you reach your target audience. ask mandatory screening questions. such as products category usage, age and / or gender, at the start of your survey

2. Use skip logic to screen out respondents who do not meet your criteria.

3. Demographic questions not used to screen out respondents should be asked at the end of the survey.

DON'T FORGET TO DELETE THESE INSTRUCTIONS BEFORE ACTIVATING YOUR SURVEY

Welcome to our survey. We are interested in your feedback. This survey will take no more than 10 minutes of your time. We thank you in advance for your participation

1. Please click on the category that includes your age. 10 - 2020 - 3030 - 5050 - 65
2. Please indicate your gender MaleFemale

1. How likely are you to buy PRODUCT/SERVICE? Not Likely At AllNot LikelyNeutralLikelyVery Likely
2. Based on your awareness of PRODUCT/SERVICE, is it better, the same or not as good as other brands of ENTER CATEGORY. BetterThe sameNot as goodDon't know
3. Does often did/do you typically use the product Once week or more oftenOnce every 2 to 3 weeksOnce a monthOnce every 2 to 3 monthsOnce every 4 to 6 monthsOnce a yearLess often than once a yearNever
4. How has your experience using the PRODUCT/SERVICE differed from your original expectations?

   Maximum Allowed: 200 words. Currently Used: 0 words

1. Where do you primarily use the PRODUCT/SERVICE? (Check all that apply) At HomeAt The OfficeAnother location outside the homeNo longerOther, please specify
2. PRODUCT/SERVICE more, less or the same as a month ago? MoreLessThe sameNo longer using
3. Other than lower prices, how could PRODUCT/SERVICE interest you more?(Please list all that apply)

   Maximum Allowed: 200 words. Currently Used: 0 words

4. If you were to buy this product, would you purchase at full price or would you wait until this item was on sale? Full priceWait for it to be on saleDon't know
5. Do you typically read the back and / or side panels of a product's package? YesNo

1. Have you tried or are you using PRODUCT/SERVICE TYPE? YesNo
2. If you don't use the product, have you ever seen or heard of PRODUCT/SERVICE? YesNo
3. What specific brands of CATEGORY have you header of? Enter Brand AEnter Brand BEnter Brand CDon't know/noneOther, please specify
4. What one brand of CATEGORY do you use most often?(Please check one) Enter Brand AEnter Brand BEnter Brand CDon't know/noneOther, please specify
5. Why did you try PRODUCT/SERVICE the first time? (Check all that apply) Looks GoodEasy to use/convenientPrice valueSolves problemReadily availableBest qualityGood selectionJust what i needAdvertisingHave not usedOther, please specify
6. How intersted are you in PRODUCT/SERVICE? Not interested At AllNot interestedNeutralInterestedExtremely Interested
7. How much did you pay for your most recent purchase? SPECIFY QUANTITY OR UNIT SO CAN ESTIMATE APPROPRIATE RESPONSE please enter amount to the nearest dollar Did not make a purchase$ (No decimal amount please.)

You're almost done ! The following question are for classification purposes only. Please be assured that your responses will remain completely confidential.

1. Do you currently have children under the age of living in your household? YesNo
2. Which of the following best describes your employment status? ABC
3. Which of the following best describes your total annual household income before taxes? ABC
4. Which of the following best describes you? ABC