THIS IS A SAMPLE SURVEY FROM PENN AND ASSOCIATES

    


CONCEPT EVALUATION
Based on your experience and what you just heard or read about this new product concept, which statement best reflects the likelihood that you would purchase this product?


How would you rate this new product concept on an overall basis?


    

Using a scale from "1" to "10" (use any number between 1 and 10 where "10" is the highest rating and "1" is the lowest), please indicate the degree to which you would expect to have each of the listed characteristics.

Easy to apply
Tough finish
One coat coverage
Easy clean-up


PRODUCT TEST EVALUATION
How would you rate this new product concept on an overall basis?


DESIRED ADJUSTMENTS

  IDEAL ACTUAL
PRODUCT
Difficult to apply "1"
"2"
"3"
"4"
"5"
"6"
"7"
"8"
"9"
Easy to apply "10"

RESPONDENT BACKGROUND

  

Which grouping does your age fall within?


Which grouping does your annual household income fall within?