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Sample Survey (Food Products)

Name: _______________________________________ Age: _________


Income/day: __________________________________ (optional)

Instruction: circle the letter of your answer.


1. On a scale of 1-5, how would you rate the product’s quality?
a. 1 b. 2 c. 3 d. 4 e. 5
2. On a scale of 1-5, how would you rate the product’s taste?
a. 1 b. 2 c. 3 d. 4 e. 5
3. On a scale of 1-5, how would you rate the product’s operation?
a. 1 b. 2 c. 3 d. 4 e. 5
4. Are you satisfied with the product?
a. 1 b. 2 c. 3 d. 4 e. 5
5. Would you recommend the product to a friend?
a. Yes b. No
6. How much are you willing to pay for this product?
a. Yes b. No
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