Survey Questionnaire Form

Survey questionnaires are used by many businesses and corporations in order to collect data regarding a product or service. Government also uses survey questionnaires in order to gain data regarding the services provided by the government. Analyzing the responses, researcher is able to draw conclusions. A survey questionnaire form consists of relevant questions that are direct and straight. Survey questionnaire forms should ideally be short and must be error free.

Survey Questionnaire Form Sample

Personal Information

Name of Individual:




Zip Code:

Phone Number:

Email ID:



Q1Have you ever heard of the brand ___________?

  • Yes
  • No

Q2If yes, what was the mode of knowing about us?

  • I own the brand
  • I heard through a friend
  • Read it in newspaper
  • Saw advert on the TV
  • If any other, then please specify?

Q3 In the last 10 days, have you heard good or bad news about the brand?

  • Yes
  • No

Q4 Has it changed your perception regarding the brand in any way?

  • Yes
  • No

Q5 Would you consider recommending the brand to your friends or relative?

  • Yes
  • No
  • Can’t Say

Q6 What is the best thing that you like about the brand?

(Answer Here)

Q7 Are you satisfied with the after sales service provided by the brand?

  • Yes
  • No

Q8 If no, please specify the reason

           (Answer Here)

Q9 Do you have any suggestions for the brand or the product?

        (Answer Here)

Signature of the Individual__________________      

Date: _________________

Category: Survey Questionnaire

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