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Survey Request Form
The more information you provide the quicker we can build the survey for you.
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1.
What is the title of your survey?
(Required.)
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2.
What is your full name?
(Required.)
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3.
What is your email address?
(Required.)
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4.
When would you like your survey to start?
Eg, As soon as possible, at the start of the next quarter, or on a specific date, etc.
(Required.)
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5.
What is the purpose of this survey?
Eg, Customer feedback, service improvement, staff engagement, marketing research, etc.
(Required.)
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6.
Who is the target audience?
Eg, Gym members, Learn to Swim participants, general public, etc.
(Required.)
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7.
How will the survey data be used?
Eg, Decision-making, reporting, service improvement, etc.
(Required.)
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8.
How would you like the survey to be distributed?
Eg, Email, website, social media, QR code, printed copies, etc.)
(Required.)
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9.
What is the timeframe for the survey?
Eg, 1 week, 2 weeks, a quarter, during specific dates, ongoing, etc.
(Required.)
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10.
Do you require anonymity for respondents?
(Required.)
Yes
No
11.
Do you know what questions you would like to ask?
If yes, please specify
12.
Do you have any other relevant information you would like to share?
If yes, please specify
