Shopping Survey example

This is an example Shopping Survey survey. This survey includes questions like:

We hope this will help you create your own Shopping Survey survey. We have not tested the validitiy or reliability of this survey. However, you may use this as a starting point to help your own survey instrument. Feel free to change and edit any of our survey templates to help you get started.

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1) Do you do most of your shopping in stores, over the internet, or both equally?
  • In Stores
  • Internet
  • Both Equally
2) When shopping for household cleaning items, do you shop mainly at discount stores such as Wal-Mart or K-Mart or do you purchase these items at the grocery store?
  • Discount Store
  • Grocery Store
  • Neither
3) When shopping for home improvement items do you usually shop at discount stores, home improvement stores, such as Lowes or Home Depot, hardware stores, or on the Internet?
  • Discount Stores
  • Home Improvement Stores
  • Hardware Stores
  • Internet
4) When shopping for clothing do you usually shop at Discount stores, Specialty stores, Malls, Catalogs, or on the Internet?
  • Discount Stores
  • Specialty Stores
  • Malls
  • Catalogs
  • Internet
5) When shopping for books do you usually shop at Discount stores, Chain Bookstores such as Barnes and Noble or Borders, Independent Bookstores, Mail order Book Clubs, or on the Internet?
  • Discount Stores
  • Chain Bookstores
  • Independent Bookstores
  • Mail Order Book Clubs
  • Internet
6) When shopping for jewelry do you usually shop at Discount Stores, Chain Jewelry Stores, Independent Jewelers, Catalogs, or on the Internet?
  • Discount Stores
  • Chain Jewelry Stores
  • Independent Jewelers
  • Catalogs
  • Internet
7) When shopping for Music do you usually shop at Discount stores, Chain Music Stores, Independent Music Stores, Mail Order Music Clubs, or on the Internet?
  • Discount Stores
  • Chain Music Stores
  • Independent Music Stores
  • Mail Order Music Club
  • Internet
8) How do you usually pay for your purchases?
  • Cash
  • Check
  • Debit Card
  • Credit Card
9) Approximately how many times during the past six months did you purchase an item through a catalog?
  • None
  • 1-2 Times
  • 3-5 Times
  • 6 Times or more
10) Approximately how many times during the past six moths did you purchase an item over the Internet?
  • None
  • 1-2 Times
  • 3-5 Times
  • 6 Times or More
11) Do you belong to any mail order clubs such as for books or music?
  • Yes
  • No
12) Do you usually purchase extended warranties on products when available?
  • Yes
  • No
13) Do you own or rent your home?
  • Own
  • Rent
14) Which of the following items do you currently own? (Check all that apply)
  • TV
  • VCR
  • TV/VCR Combo
  • CD Player
  • DVD Player
  • Camcorder
  • Digital Camera
  • Microwave
15) What is your total household income?
16) Are you male or female?
  • Male
  • Female
17) What is your age?
  • 18-20
  • 21-24
  • 25-29
  • 30-34
  • 35-45
  • 46-54
  • 55 or older
18) Including yourself, how many people live in your household?
19) How many children, under the age of 18, live in your household?
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