Survey Topic: Personal Shopping

Number of Questions: 25
Payment for Completing Survey: $10.00


Your Email Address

First Name

Last Name

Mailing address

Country

State

City

Post Code

1. What is your Gender?
Male
Female

2. Which of the following ranges includes your age?
18 - 24
25 - 31
32 - 40
41 - 50
51 or Older

3. Which grocery store do you most frequently shop at?


4. How often do you shop for groceries per month?
5 times a month
4 times a month
3 times a month
twice a month
once a month
less often than once month
More than 5 times a month

5. On average, how much money do you spend on groceries in
total per month?
under $50
$50 to $100
$101 to $200
$201 to $300
$301 to $400
$401 to $500
$501 or more

6. Are online grocery shopping services available in your area?
Yes
No
Don't know

7. Have you ever shopped online for groceries?
Yes
No

8. When you purchase groceries, do you generally...?
Purchase only items you intended to purchase prior to going to the grocery store
Purchase additional items that you see while you are browsing
Purchase additional items that you see advertised
Have no consistency to your shopping

9. Have you ever used coupons or special offers from newspapers or your letterbox to use when shopping for groceries?
Yes
No

10. Does the grocery store you visit most frequently, offer some sort of frequent shopper programs?
Yes
No

11. How would you rate the customer service at the grocery store you frequently shop at?
Excellent
Very Good
Average
Poor

12. Which pharmacy/chemist do you most frequently shop at?


13. How often do you shop for pharmacy/chemist products per month?
5 times a month
4 times a month
3 times a month
twice a month
once a month
less often than once month

14. On average, how much money do you spend on pharmacy/chemist products in total per month?
under $50
$50 to $100
$101 to $200
$201 to $300
$301 to $400
$401 to $500
$501 or more

15. Are online pharmacy/chemist services available in your area?
Yes
No
Don't know

16. Have you ever shopped online for pharmacy/chemist products?
Yes
No

17. When you purchase pharmacy/chemist products, do you generally...?
Purchase only items you intended to purchase prior to going to the grocery store
Purchase additional items that you see while you are browsing
Purchase additional items that you see advertised

18. Have you ever used special offers from newspapers or your letterbox to use when shopping for pharmacy/chemist products?
Yes
No

19. Does the pharmacy/chemist you visit most frequently offer a frequent shopper program?
Yes
No

20. How would you rate the customer service at the pharmacy/drugstore you frequently shop at?
Excellent
Very Good
Average
Below Average
Poor

21. Do you use a credit/debit card to buy your groceries?
Always
Most of the time
Sometimes
Very rarely
Never, I pay cash for everything

22. How do you get to the shops?
Car
Bus
Train
Walk

23. Do you get your groceries home delivered?
Yes
No
Sometimes

24. Do you do your shopping by yourself or with someone else?
By Myself
With my spouce
With a friend
With my child/children

25. Do you enjoy buying groceries?
Yes
I don't mind
Not realy
I hate it

Thank you for taking the time to participate in our survey about personal shopping.

* This is only a sample survey of what you will be paid to participate in.


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