SF Upcoming PAID study on Surveys-January 4-5, 2011

1. SF Upcoming PAID study on Surveys- January 4-5, 2011

Thank you for taking the time to answer these brief questions. As always, we appreciate your input as a valuable Plaza Research respondent. We have a new study on Surveys that you maybe in interested in.

Please take note that you are ineligible to participate if you have taken part in any research study in the last 6 months.

We are looking for males and females ages 25-50. This study is a 90-minute individual interview and will take place in downtown San Francisco on January 4-5. The honorarium is $125.00 if you qualify and participate.

IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone.

Please note that all responses will be returned on a first come, first served basis until the studies are full.

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* 1. Contact Information

Name

Cell Phone

Home Phone

Work Phone

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* 2. Employment Information

Job Title

Company Name

Industry

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* 3. What is your gender?

Male

Female

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* 4. Which of the following groups best fits your age?

Under 25

25-29

30-39

40-50

51+

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* 5. What is your EXACT age?

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* 6. What is your current employment status?

Employed full-time

Employed part-time

Self-employed (at least 20 hours per week)

Homemaker/stay-at-home parent

Semi-retired

Retired

Unemployed

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* 7. Have you ever created or sent an online survey or poll?

Yes

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* 8. If no, have you thought about creating or sending an online survey or poll, within the last few months, for work reasons?

Yes

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* 9. If you have considered creating a survey or poll (but did not create it), please describe what you thought you could use a survey or poll for?

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* 10. What did you create your survey or poll for (check all that apply)?

Work Reason

Personal Reason

Not applicable

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* 11. How did you create and send your survey or poll?

SurveyMonkey

SurveyGizmo

Zoomerang Surveys

Google forms

Microsoft Sharepoint

Facebook Polls

Constant Contact

Not applicable

Other (please specify):

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* 12. Do you pay for the service you use to create and send your survey/poll (subscription, monthly fee, one-time fee)?

Not applicable

Yes

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* 13. Which of the following best describes your role in selecting a survey tool?

I am the decision maker

I have a lot of influence on the decision

I have minimal influence on the decision

I have no influence on the decision

Not applicable

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* 14. What size is our company, how many employees in total?

Under 100 employees

Over 100 employees

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* 15. How many days a week do you work on a computer (including checking email and surfing the web)?

Don't use a computer at all

0-4 days per week

5+ days per week

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* 16. Do you have a computer with high-speed internet access at work?

Yes

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* 17. What is the highest level of education that you have completed?

Some high school

High school graduate

Technical degree

Some college

College graduate

Post-graduate work or degree

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* 18. Which category best describes your total annual household income before taxes?

Under $50,000

$50,000 to less than $75,000

$75,000 to less than $100,000

Over $100,000

**IMPORTANT: PLEASE PUSH THE "DONE" BUTTON AT THE BOTTOM OF THIS SCREEN. YOUR ANSWERS WILL NOT BE SAVED WITHOUT DOING SO!**

Thank you for participating in our survey. IF you qualify based on the answers provided THEN you will receive a call back. However due to the popularity of our surveys and groups, we can't contact everyone. Please note that all responses will be returned on a first come, first served basis until the studies are full.

*****REFERRALS ARE GREATLY APPRECIATED!*****

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* 1. Contact Information

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* 2. Employment Information

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* 3. What is your gender?

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* 4. Which of the following groups best fits your age?

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* 5. What is your EXACT age?

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* 6. What is your current employment status?

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* 7. Have you ever created or sent an online survey or poll?

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* 8. If no, have you thought about creating or sending an online survey or poll, within the last few months, for work reasons?

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* 9. If you have considered creating a survey or poll (but did not create it), please describe what you thought you could use a survey or poll for?

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* 10. What did you create your survey or poll for (check all that apply)?

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* 11. How did you create and send your survey or poll?

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* 12. Do you pay for the service you use to create and send your survey/poll (subscription, monthly fee, one-time fee)?

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* 13. Which of the following best describes your role in selecting a survey tool?

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* 14. What size is our company, how many employees in total?

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* 15. How many days a week do you work on a computer (including checking email and surfing the web)?

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* 16. Do you have a computer with high-speed internet access at work?

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* 17. What is the highest level of education that you have completed?

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* 18. Which category best describes your total annual household income before taxes?

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* 19. ******FOR COMPANY USE ONLY****** (Please press next)

* 19. FOR COMPANY USE ONLY
(Please press next)