Title Page

  • Site

  • Conducted on

  • Prepared by

  • Location

Feedback Form

  • Instruction to field researcher: Greet the respondent and ask "do you have a minute to answer a quick survey about online shopping."

  • To which age group do you belong?

  • Complete the survey, thank the respondent and find another respondent.

  • Do you make online purchases?

  • What do you usually buy online? (select those that apply)

  • Please describe "Others"

  • If an item you plan on buying is available at a physical store, would you prefer buying at a physical store or making your purchase online?

  • Why so?

  • Why not purchase online?

  • What can help make you more inclined to make purchases online?

Completion

  • We appreciate your time!

  • (optional) Customer's name and signature

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