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Below is a Sample of a Standard Online Survey Form. Go ahead and fill it up by giving your opinion to get a feel of it. Don't forget to click the 'Submit Survey' button after you are done.

There are no right or wrong answers in an online survey. You have to give your personal opinion only. Simply click the answer as per your opinion.

Survey Topic	:	Mobile Phone Usage
Number of Questions	:	50
Payment For Completing Survey	:	$10

1. Your Gender : Male Female		26.How likely are you to recommend the mobile phone brand you are using to others? Definitely will recommend Probably will recommend Not sure Probably will not recommend Definitely will not recommend Refuse to answer
2. Which of the following ranges includes your age ? Under 18 18 - 24 25 - 34 35 - 44 45 - 54 55 and above		27.On average how often do you make phone calls from your mobile phone? Several times a day Once a day Few times a week Few times a month
3. Highest level of education you have completed Grade School Middle School High School Some College Graduate Post Graduate Doctorate		28.On average how often do you send SMS from your mobile phone? Several times a day Once a day Few times a week Few times a month
4. Marital Status : Single Married Separated Divorced Widowed		29.Is your mobile phone equipped to connect to internet? Yes No Don't Know
5. Your ethnic region White Black / African American Asian Hispanic Others Refused		30. Is your mobile phone equipped with camera ? Yes No Don't Know
6. What is your Employment Status? Work Full Time Work Part Time House Maker Unemployed Student Others		31.Is your mobile phone equipped with FM Radio ? Yes No Don't Know
7. Which of the following best describes the area where you live? Urban Suburban Rural/Lightly populated		32. Who do you ask for help on using your mobile phone ? My friends My colleagues My parents My children Internet
8. In the last month about how many hours did you spend logged on to the internet? Less than 10 hour 10 - 20 hours 20 - 30 hours above 30 hours		33. Which of the following functions do you use the most on your mobile phone ? Calls Text Messaging (SMS) Camera Video Calculator Calender Alarm clock Games Internet
9. Please indicate which of the following four statements best describes you? I am always one of the first people I know to be interested in and to buy new technology products I am always one of the first people I know to be interested in new technology products, but I tend to wait before buying I usually wait until others have tried new technology products before I will buy Generally, new technology is not important in my life		34. On average how many hours a day do you spend using your mobile phone (making calls,sending sms etc.,) ? Less than 1 hour 1 – 2 hours 2 – 3 hours 3 – 4 hours Over 4 hours
10. How important mobile service is to you in your daily life? Not at all Important Somewhat important Very important Extremely Important		35. Have you found yourself in a funny or embarrassing situation because you did not know how to work your phone or made an error ? Yes No Don't Know Refuse to answer
11. I would have fewer friends if I did not have a mobile phone ? Strongly agree Somewhat agree Somewhat disagree Strongly disagree		36. When you are planning to purchase a new mobile phone ? After 3 months After 3 to 6 months After 6 to 12 months After 12 to 18 months After 18 to 24 months
12.Which of the following applies to you I make the decision about the brands of Mobile phone to buy I share the influence about the brands of Mobile phone to buy I do not play the role in choosing the brands of Mobile phone to buy		37.Have you actively started investigating brands for your new mobile phone purchase? Yes No Don't Know
13. I actively seek to change my handset every now and again STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		38.While purchasing a new mobile phone which brand you would prefer? Nokia Samsung LG Motorola Panasonic Sony Ericcson Others
14. I would feel embarrassed if my mobile phone looked outdated STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		39. Approximately how much you would spend for your new mobile phone purchase ? Less than Rs 3000 Rs 3001 - Rs 5000 Rs 5001 - Rs 8000 Rs 8001 - Rs 10000 Above Rs 10000
15. Whenever a new mobile phone design comes on the market, I am always amongst the first to buy it STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		40. Where you would prefer to purchase your new mobile phone ? From Dealer From Retailer Through Internet Others
16. It is very important to me to personalize the outside look of my mobile phone (e.g. changeable colour covers) ? STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		41. Have you ever shopped online for purchasing a mobile phone ? Yes No Don't Know
17.I want to be able to use other functions on my mobile phone even when I'm on a call ? STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		42.Which of the following network you have been connected to ? BSNL AIRTEL RELIANCE TATA INDICOM VODAFONE OTHERS
18. I take great pleasure in trying out the functions on my mobile phone and playing with it ? STRONGLY AGREE SOMEWHAT AGREE SOMEWHAT DISAGREE STRONGLY DISAGREE		43.Which of the following best describes your mobile phone service plan? Individual plan Family or Multiple User plan Corporate plan/rates
19. Which of the following mobile phone you own ? Nokia Samsung LG Motorola Panasonic Sony Ericcson Others		44.Is your current mobile phone on a prepaid or postpaid plan? Prepaid Postpaid Prefer not to say
20.Why do you prefer a particular brand of mobile phone over other brand? Exquisite Design Lower Price Easy to use Availability in Market Better Service		45.On average how much do you spend as mobile service provider charges every month?(making calls,sending sms etc.,) Less than Rs100 Rs101 to Rs300 Rs301 to Rs500 Rs501 to Rs800 Rs801 to Rs1000 Above Rs1000
21.How long you have been using your mobile phone ? Less than 3 months 3 to 6 months 6 to 12 months 12 to 18 months 18 to 24 months More than 24 months		46.Do you personally pay your own phone bill for mobile phone service ? I am responsible for paying 100% of the bill My employer pays 100% of the bill I am responsible for paying a portion of the bill, my employer pays the rest I have a pre-paid plan that I am responsible for paying I have a pre-paid plan that someone else pays for Other
22. Approximate cost of your mobile phone? Less than Rs 3000 Rs 3001 - Rs 5000 Rs 5001 - Rs 8000 Rs 8001 - Rs 10000 Above Rs 10000		47. How would you rate the customer service of your network ? Excellent Very good Average Poor
23.How did you purchase your mobile phone? From Dealer From Retailer Through Internet Others		48. In the next 6 months how likely are you to switch mobile service plan or sign up for new plan? Very likely Somewhat likely May or May not Somewhat unlikely Very unlikely
24. Overall, how satisfied are you with your current mobile phone brand? Very Unsatisfied Unsatisfied Somewhat Satisfied Very Satisfied Extremely Satisfied		49.How often do you typically replace your mobile telephone/handset? Your best estimate is fine? Every 6 months of less Every 6 to 9 months Every 9 months to 12 months Every 1 to 2 years Every 2 to 3 years Have never replaced mobile phone/handset Other
25. Compared to other Mobile phone brands that are available, would you say the brand you are using is? Much better Somewhat better About the same Somewhat worse Much worse Refuse to answer		50.How would you say your usage of your mobile phone overall has changed over time? Increased significantly Increased somewhat Remained consistent Decreased Do not use these services

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