The primary objective of a research survey questionnaire is to gather information from respondents regarding a particular product, service, organization, law, process, etc. A research survey questionnaire is quite helpful in not only providing relevant information and data but also helps the survey organization to use the data to initiate improvements and better solutions.

Research Survey Questionnaire Sample

Name of the Respondent: ____________________________________

Age: __________  Sex: ___________  Marital Status: _______________

Address: ___________________________________________________

City: ________________ State: ______________  Zip: ______________

Telephone: ____________________  Email: ________________________

Q1. Have you ever filled a similar research survey questionnaire before?

a)   Yes

b)   No

Q2. Do you feel that research survey questionnaires like these can make a difference?

a)   Yes

b)   No

Q3. What according to you is the main objective of a research survey?

a)   Collect information about people

b)   Collect relevant data for analysis

c)   Identify problems and issues

d)   Identify solutions

Q4. What are your thoughts about this research?

a)   It is a good way to find information

b)   It is a waste of time

c)   It is a waste of money

d)   It offers an insight into behaviors and attitudes

e)   The results are not reliable

f)    The questions are not valid

Q5. Do you feel that a research should have monetary incentives?

a)   Yes

b)   No

Q6. Which of the following non-monetary incentives have you received from research survey companies?

a)   Commodity like pens, pencils, notepads, stick pads

b)   Entry into a contest or draw

c)   Discount coupons

Q7. Do you feel these kinds of research surveys are reliable?

a)   Yes

b)   No

Q8. What suggestions would you like to make towards improvement of research surveys?