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THANK YOU FOR YOUR INTEREST IN AN EXAMPLE OF $99/MONTH WEB
SURVEY. THIS IS A EXCELLENT CHOICE IS YOUR SITE HAS HEAVY TRAFFIC
AND/OR COMPLEX ISSUES FOR INVESTIGATION. IN THIS EXAMPLE, WE
HAVE PUT ALL QUESTIONS ON ONE PAGE (SEE  FOR
MULTIPLE PAGES).
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1. You might ask about your respondents (who they are).
This is typically a ONE ANSWER ONLY question.
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 President/Owner |
Operations |
| Upper Management |
Manufacturing/Production |
| General Manager |
Logistics |
| Purchasing |
IT/Technical/Design |
| Sales/Marketing |
Other |
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2. Some numbers questions.
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3a. They could rate the importance of certain attributes your product or
service provides.
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| | Very
Important |
Somewhat
Important |
Not At All
Important |
| Security |
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| Intranet networking |
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| Instant messaging |
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| Open source technology |
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| Online apps |
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| Cloud computing |
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| Bandwidth |
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| Technology transformation |
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| Automation |
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| Prioritization |
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| Data warehousing |
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| Metrics |
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3b. Or, you could have respondents enter a number to indicate the
importance of various attributes.
1=Not At All Important, 2=Not Really Important, 3=Neutral, 4=Somewhat
Important, 5=Very Important
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4. They could then rate your business on these same attributes.
Idea: You could also have them rate your competitors.
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| | Very
Satisfied |
Somewhat Satisfied |
Not Satisfied |
| Security |
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| Social networking sites |
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| Instant messaging |
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| Open source technology |
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| Online apps |
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| Cloud computing |
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| Bandwidth |
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| Technology transformation |
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| Automation |
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| Prioritization |
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| Data warehousing |
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| Metrics |
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5. You might test some new ideas.
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| | Extremely Useful
to me and/or my
organization |
Somewhat Useful
to me and/or my
organization |
Not At All Useful
to me and/or my
organization |
| 24 hour customer support |
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| Data backup |
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| Inventory tracking |
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| RFID |
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6. You could ask whether they will be increasing, decreasing, or keeping
their use of your product or service the same.
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| | Experience
Last 6 months |
Expectations
Next 6 months |
| Use more | | |
| Use same | | |
| Use less | | |
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7. You could ask them to explain why they are increasing/decreasing their
use of your product or service.
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8. Add some demographic questions.
This is typically a CHECK ALL THAT APPLY question.
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 West (AK, AZ, CA, CO, HI, ID, MT, NM, OR, UT, WA, WY) |
| Midwest (IA, IL, IN, KS, MI, MN, MO, ND, NE, OH, SD, WI) |
| South (AL, AR, DC, DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV) |
| Notheast (CT, MA, ME, NH, NJ, NY, PA, RI, VT) |
| China |
| India |
| South/Central America/Mexico |
| Canada |
| Europe |
| Other |
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9. Maybe a contact follow-up.
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| Yes |
No |
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9a. If they wish to be contacted, you could ask for contact information and
an email could be sent to you to indicate that this interest existed.
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