Survey Subject: Shopping
Number of Questions: 22
Payment for Completing Survey: $15.00
E-Mail address
First Name
Last Name
Mailing address
City, State Zip
1.
Are you a male or female?
Male
Female
2.
How old are you?
18-24
25-33
34-45
46
or Older
3.
How many online purchaes have you made in the last 30 days?
1
2
3
4
5
6
7
9+
4.
How much did you spend making these purchases?
Less than $20
$20 - $50
$50 - $100
$101 - $200
$200
- $400
$400+
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
Note: This is just sample of the questions on a typical survey.
Actual surveys are much longer.
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