Please print this worksheet for your use >
Would you be interested in buying this product or service?
following about the person you are interviewing:
In what part of town do you live?
Family Status: Single Couple (no kids) Couple (kids at
home) Couple (grown kids)
How far would you travel to purchase my product or service?
than 15 miles
Would by on-line
Would order by
How often would you purchase my product or service?
Every 3 months Every 6 months
When would you be most likely to purchase from me?
Day(s) of Week:
Month of year:
Time of day:
Are you interested in this product for
Other family member
As a gift
Why would you buy this product or service?
Congratulations. Once you have completed this form, you should know a lot about your customers!
To print this worksheet :
Cick on the Print button at the top of this page OR Select File and then Print from your browser's menu.
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