Paid Survey Sample If you are wondering how exactly paid survey look, you are in the right place. Here we show the exact sample of online paid surveys to get an idea of what to expect when filling paid surveys. Topic: Personal Shopping Number of Questions: 20 Payment for Completing Survey: $20.00 This is a sample survey of what you will be paid to participate in. Name: Address: City: State: Zip Code: Email Address: 1. What is your gender? Male Female2. Which of the following ranges includes your age? (select one answer) 18-24 25-31 32-40 41 or older3. Which grocery store do you most frequently shop at? (select one answer) Albertsons Hughes Ralphs Safeway Stater Brothers Vons Other (please specify) 4. How often do you shop for groceries per month? (select one answer) 5 times a month 4 times a month 3 times a month twice a month once a month less often than once month 5. On average, how much money do you spend on groceries in total per month? (select one answer) 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? (select one answer) Yes No Don’t know 7. Have you ever shopped online for groceries? (select one answer) Yes No 8. When you purchase groceries, do you generally…? (select one answer) 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 9. Have you ever pulled coupons or special offers from newspapers to use when shopping for groceries? (select one answer) Yes No 10. Does the grocery store you visit most frequently offer a frequent shopper program? (select one answer) Yes No 11. How would you rate the customer service at the grocery store you frequently shop at? (select one answer) Excellent Very Good Average Poor 12. Which pharmacy/drugstore do you most frequently shop at? (select one answer) Longs Osco Rite Aid Savon Walgreen Other (Please specify) 13. How often do you shop for pharmacy/drugstore products per month? (select one answer) 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/drugstore products in total per month? (select one answer) under $50 $50 to $100 $101 to $200 $201 to $300 $301 to $400 $401 to $500 $501 or more 15. Are online pharmacy/drugstore services available in your area? (select one answer) Yes No Don’t know 16. Have you ever shopped online for pharmacy/drugstore products? (select one answer) Yes No 17. When you purchase pharmacy/drugstore products, do you generally…? (select one answer) 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 pulled coupons or special offers from newspapers to use when shopping for pharmacy/drugstore products? (select one answer) Yes No 19. Does the pharmacy/drugstore you visit most frequently offer a frequent shopper program? (select one answer) Yes No 20. How would you rate the customer service at the pharmacy/drugstrore you frequently shop at? (select one answer) Excellent Very Good Average Poor Payment for Completing Survey: $20.00 Thank you for taking the time to participate in our survey about personal shopping. This is a sample survey of what you will be paid to participate in.
