Market Research Template Survey

1.What is your age?(Required.)

2.What is your gender identity?(Required.)

Man

Woman

Non-binary

Prefer to self-describe (please specify)

4.Are you currently responsible for anybody taking recurring medications?(Required.)

Yes

No

8.How much would you pay for access to the services above?(Required.)

$200 CAD for reusable pill bottle and $3.99 CAD per month for service

$200 CAD for pill bottle with no cloud services (only connects to smart phone with limited services)

$7.99 CAD per month per medication including reusable smart pill bottle

$24.99 CAD per month for up to 4 medications including reusable smart pill bottles

I would not pay this much for this service.

9.Which of the following are reasons that you might purchase this product? Please select all that apply.(Required.)

It serves a need of mine that is not currently being met

It is a better price than something I already use

I purchased something similar in the past but need to replace it

It is better quality than something I already use

It would make a good gift

Other (please specify)

10.Which of the following are reasons that you might not purchase this product? Please select all that apply.(Required.)

I don’t know anyone who would want this

It is low quality

I don’t need something like this

I purchased something similar and I am satisfied

I don’t want something like this

It is too expensive

Other (please specify)

11.If this product were available today, how likely would you be to purchase it instead of competing products currently available from other companies?(Required.)