Sample Survey

Sample Survey Questions:

Customer Service:
Please answer all questions using the 1 to 5 rating system, 1 being not at satisfied and 5 being very satisfied.

How would you rate the friendliness of our staff?
How satisfied were you with the speed in which your problem was solved?
How would you rate the cleanliness of our facilities?
How would you rate the waiting time for a customer service representative?
On a scale of 1 to 5, how likely would you refer your friends or family members?
Thank you for taking the time out to take our survey, if there are any other comments you may have, please write in the space provided below:


Product Service:
Where did you purchase your product?
a) Electronics Store b) Independent retailer c) Other

Sex: M__ F__

3. Age:
____ 17 and under____18 to 22 ____19 to 25 _____26 to 34 ____35 to 40

____ 41 to 45 _____46 to 50 _____Over 50

Income
____ Less than $15,000/yr
____ 15,000 to 25,000/yr
____ 25,000 to 30,000/yr
____ 30,000 to 35,000/yr
____ 35,000 to 40,000/yr
____ 40,000 to 50,000/yr
____ over 50,000/yr

How long were you shopping before you bought our product?
____ 0 to 3 months ____ 4 to 6 months ____ 6 to 12 months ____over 12 months

When do you plan on making your next electronic purchase?
____ 0 to 3 months ____ 4 to 6 months ____ 6 to 12 months ____over 12 months

Please write your hobbies and interests below: