Design

What is the purpose of this survey (what are your goals?)

When might you want to conduct this survey?

How much assistance would you like in writing the survey questions?

• I have already written the questions I want to ask in the survey
• I will write them and provide them to Track Marketing Group
• I need Track to edit my rough draft of questions
• I need Track to take the lead and write the questions for my approval
• I am not sure - let's discuss

Approximately how many questions will be in the survey?

(Please include sub-questions - for example if you ask people to rate satisfaction with the experience and then you list 10 specific items to rate, please count this as 10 questions, not 1)

Approximately how many unique surveys will be created?

Approximately how many questions will branch to other questions based on answers?

My questions will likely be:

• Mostly or all open ended (such as text or number input)
• A mix of open ended and button/check box selection type
• Mostly button/check box selection type of questions
• Not sure at this time - to be decided later

Build

Survey Format (choose all that apply):

• Web survey designed and hosted by Track - www.takesurvey.com address
• Web survey designed and hosted by Track with a link from client's web site to survey
• Print (hard copy) survey
• If survey is print based, who will handle the data entry? If Track to handle, approx how many hours would you expect?
• If survey is print based, what will be the mailing details? (Track to mail to audience directly or to client to distribute or another method?)
• If survey is printed, how many will be printed by Track and what is the general format/specs such as page count, size, color?

Invite

Who is the audience you want to survey?

Approximately how many people do you wish to invite to take your survey?

Approximately what type of response rate are you anticipating?

How long do you think the survey should be "live" before you would expect to obtain this response?

Respondent Identification:

• Anonymous
• Self-Identified (respondent to enter their information in the survey)
• Identified via Code (respondent to enter a code that is provided in the invite)
• Not Sure

Which methods would you like to use to invite your audience to take your survey:

• Link from your web site
• Existing advertising options such as your newsletter or other client provided methods
• Personalized email sent by Track to our audience (can have your return email address - we would need the email addresses) (number of emails to send? )
• Fax broadcast sent by Track (number of faxes to send? )
• Postcard Promotion or other mailing conducted by Track

Respond 

How would you like the responses to be handled as they are completed by your audience?:

• I want all survey responses to be sent via real-time email (not practical for large surveys and offers limited reporting options in the future)
• Responses should be entered into a database so that I can see reports at set times in the future based on responses received over a period of time
• I desire both options detailed above

Report

Reporting Requirements (choose all that apply)

• Summary reports
• Report showing answers for each respondent
• Export of data to a file (such as excel)
• Cross tabulations
• Graphs
• Custom analysis of responses

Survey Duration (choose one or more)

• Single deadline (close at a set date and provide a report)
• Interim reporting - same survey with a report provided at multiple intervals
• On-going (no end date - how often would you like reports? )
• Same survey given to multiple audiences and reported separately
• I need more than one unique survey

Other comments about your survey needs?

(PLEASE CLICK THE SEND BUTTON TO COMPLETE YOUR SURVEY)

Thank you for your interest! We will contact you shortly. We can also be reached at 87-SELLMORE or (703) 941-7766.

If you experience any difficulties with this form, you may email your request to: info@trackmktg.com.