Market Research Survey

1. How likely is it that you would recommend our product/service to a friend or colleague?

0

1

2

3

4

5

6

7

8

9

10

NOT AT ALL LIKELY EXTREMELY LIKELY

2. What are the things you like most about this product/service?

3. What are the things you would like to improve about this product/service?

4. What do you like most about competing products currently available?

5. If this product/service were available today, how likely would it be that you would purchase it instead of competing products currently available?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

6. What is your gender?

Female

Male

7. What is your age?

18-24

25-34

35-44

45-54

55-64

65-74

75 or older

8. What is your ethnicity origin (or race)?

White

Hispanic or Latino

Black or African American

Native American or American Indian

Asian / Pacific Islander

Other

9. What was your total HOUSEHOLD income for all family members combined in the past year?

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000-$149,999

$150,000-$174,999

$175,000-$199,999

Over $200,000

Prefer not to answer

10. What is your marital status?

Single, never married

Married or domestic partnership

Widowed

Divorced

Separated

11. How many children aged 17 or younger live in your household?

None

1

2

3

4

More than 4