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Sample Survey
Topic: Apparels Shopping
Number of Questions: 20
Payment for Completing Survey $15.00
E-Mail address
First Name
Last Name
Mailing address
City, State Zip
1. What is your Gender?
Male
Female
2. What is your age group?
18-24
25-31
32-40
41or Older
3. Which apparels store do you
most frequently shop at?
Store 1
Store 2
Store 3
Store 4
Store 5
Store 6
Store 7
Other (please specify)
4. Which apparels store did you
shop last time for yourself or your family members?
Store 1
Store 2
Store 3
Store 4
Store 5
Store 6
Store 7
Other (please specify)
5. Was the store clean and neat?
Yes
No
6. Was your presence
acknowledged within a short time of arrival?
Yes
No
7. Was lobby/waiting area clean?
Yes
No
8. Were you greeted in a
friendly manner?
Yes
No
9. Were employees dressed
professional?
Yes
No
10. Did they offer to assist you
with problems?
Yes
No
11. Were they courteous?
Yes
No
12. Were the dressing rooms
clean?
Yes
No
13. Did they know their products
well?
Yes
No
14. Did they thank you for
shopping?
Yes
No
15. How do you rate this
establishment?
Excellent
Good
Fair
Poor
16. Based on your experience,
would you shop at this location again in the future?
Yes
No
Can't Say
17. How often do you shop for
apparels per year?
2-3 times a month
Every month
once every 2 -3 month
once every 4 - 6 month
few times a year
once or less then once per year
18. On average, how much money
do you spend on clothing in
total per month?
under $50
$50 to $100
$101 to $200
$201 to $300
$301 to $400
$401 to $500
$501 or more
19. Have you ever shopped
online?
Yes
No
20. Have you ever pulled coupons
or special offers from newspapers to use when shopping for clothing?
Yes
No
Thank you for taking the time to
complete this survey. Select Submit Survey now to send your
responses to us.
Note: This is a sample survey of what
you will be paid to participate in. You will not be paid for this
survey. Actual paid surveys may be longer.