design a survey follow instructions attached
Template
| Template - Survey Design Assignment | |||||||||
| Objective: | |||||||||
| Devise a one page survey to assess the topic of your choice that is not food related. | |||||||||
| Note that no data will be collected in the assignment. | |||||||||
| Title: | |||||||||
| Purpose: | |||||||||
| # | Legend Values: | 1 | 2 | 3 | 4 | 5 | 6 | 7 | NA |
| Statements: | Extremely Disagree | Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | Extremely Agree | Not Applicable | |
| 1 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 2 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 3 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 4 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 5 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 6 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 7 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 8 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 9 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 10 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 11 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 12 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 13 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 14 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| 15 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | ⃝ | |
| Directions for the Demographic/Segmentations: | |||||||||
| Demographic Segmentation #1 (with appropriate options): | |||||||||
| Demographic Segmentation #2 (with appropriate options): | |||||||||
| Demographic Segmentation #3 (with appropriate options): | |||||||||
| Demographic Segmentation #4 (with appropriate options): | |||||||||
| Devise an open ended question #1: | Comment #1: | ||||||||
| Devise an open ended question #2: | Comment #2: | ||||||||
| Thank you. |
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