1. Do you currently use any [Product]?
Yes No Not Sure Not Sure
2. What brand of [Product] are you currently using?
Brand 1 Brand 2 Brand 3 Brand 4 Brand 5 Brand 5
3. How did you purchase this product?
Retail Store Direct Mail Catalog Web Company Someone Else Purchased Not Sure
Retail Store Direct Mail Catalog
Web Company Someone Else Purchased
Not Sure
4. Are there features that this product does not have that you would want out of a [Product]?
5. What features does your [Product] not have that you wish it did?
6. How much did you pay for your [Product]?
7. How satisfied are you with your [Product]?
Very Satisfied Somewhat Satisfied Somewhat Dissatisfied Very Dissatisfied Very Dissatisfied
8. 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
9. Of the three features you just listed, please rank them first, second and third in importance to you.
First Second Third
First
Second
Third
10. 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
11. 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
12. How much would you be willing to pay for a product with these features? [List features]
13. If the product was priced at (price) how likely, on a percentage basis, would you be to buy it? (0% = Not at all likely to buy, 100% = Completely likely to buy)
14. How much are you authorized to spend on new products?
15. Do you think a price of (price) for this is product is Extremely High, Somewhat High, Just Right, Somewhat Low, Extremely Low?
Extremely High Somewhat High Just Right Somewhat Low Extremely Low Extremely Low
16. Through what means would you be most likely to purchase this product?
Retail Direct Mail Mail Order Catalog Classified Advertisement Telemarketer Telemarketer
17. Through what means would you be least likely to purchase this product?
18. What do you think would be a good name for such a product?
19. On a scale of 1 to 5, where 1 means Not at all and 5 means Very much, how would you rate your preference for the following product names?
1 2 3 4 5 5 Product Name 1 1 2 3 4 5 5 Product Name 2 1 2 3 4 5 5 Product Name 3 1 2 3 4 5 5 Product Name 4 1 2 3 4 5 5 Product Name 5
20. Can you please tell us which one of the following possible product names you like the most?
Product Name 1 Product Name 2 Product Name 3 Product Name 4 Product Name 5 Product Name 5
21. How often do you read product reviews?
Once a day Once every couple of days Once a week Once every couple of weeks Once a month Once every couple of months Twice a year Once a year Less than once a year Don't read product reviews Don't read product reviews
22. How likely would you be to base a purchasing decision on a product review?
Extremely Likely Very Likely Somewhat Likely Not Very Likely Not At All Likely Don't Read Product Reviews Don't Read Product Reviews
23. How much of your knowledge about new products comes from reading product reviews?
All of it Most of it Some of it Not much of it None of it None of it
24. Which of the following publications do you read that review products?
Publication 1 Publication 2 Publication 3 Publication 4 Publication 5
25. Please supply us with your contact information.
Name Title Organization Address City, State Zip E-Mail Phone Fax Thank you for taking the time to complete this survey. Select Submit Survey now to send your responses to us.