Customer Needs Survey

Good morning,

This survey aims to .... It will take no more than 5 minutes to complete it.

All information obtained through research is confidential - it will only be used to analyze collective summaries.

Thank you in advance for providing reliable answers!

1. How often (approximately) do you use [PRODUCT NAME]? ^*

You can give only one answer.

2. What is your and favorite brand [PRODUCT NAME]? ^*

You can give only one answer.

	name 1
	name 2
	name 3
	name 4
	other: what?

3. How often do you buy [PRODUCT NAME]? ^*

You can give only one answer.

4. How much money per month (approximately) do you spend on buying [PRODUCT NAME]? ^*

You can give only one answer.

	Less than X USD
	X - Y USD
	Y - Z USD
	Above Z USD
	I don't know

5. Would you be interested in the new [PRODUCT NAME]? ^*

You can give only one answer.

	definitely no
	rather no
	I don't know
	rather yes
	definitely yes

6. How much would you be willing to pay for such a product (price per unit)? ^*

You can give only one answer.

7. What is the first word that comes to your mind when talking about [PRODUCT NAME]? ^*

8. Sex: ^*

You can give only one answer.

	woman
	man

9. Age: ^*

q

10. Place of residence: ^*

You can give only one answer.

	Village
	City up to 50,000 residents
	City of 50 thousand - 100 thousand residents
	City over 100,000 residents

11. Please specify your current professional status: ^*

You can give only one answer.

	Student
	Employee
	Unemployed
	Retired

Customer Needs Survey

1. How often (approximately) do you use [PRODUCT NAME]? *

2. What is your and favorite brand [PRODUCT NAME]? *

3. How often do you buy [PRODUCT NAME]? *

4. How much money per month (approximately) do you spend on buying [PRODUCT NAME]? *

5. Would you be interested in the new [PRODUCT NAME]? *

6. How much would you be willing to pay for such a product (price per unit)? *

7. What is the first word that comes to your mind when talking about [PRODUCT NAME]? *

8. Sex: *

9. Age: *

10. Place of residence: *

11. Please specify your current professional status: *

1. How often (approximately) do you use [PRODUCT NAME]? ^*

2. What is your and favorite brand [PRODUCT NAME]? ^*

3. How often do you buy [PRODUCT NAME]? ^*

4. How much money per month (approximately) do you spend on buying [PRODUCT NAME]? ^*

5. Would you be interested in the new [PRODUCT NAME]? ^*

6. How much would you be willing to pay for such a product (price per unit)? ^*

7. What is the first word that comes to your mind when talking about [PRODUCT NAME]? ^*

8. Sex: ^*

9. Age: ^*

10. Place of residence: ^*

11. Please specify your current professional status: ^*