SURVEY - FORM

( Help us to serve you better by taking a few minutes to fill it.
All data is absolutely confidential and no submitted information
from this form will be transmitted to anybody as far as we're concerned.)

 
   
Mr. Mrs.
YOUR FAMILY NAME* 
YOUR FIRST NAME*

COMPANY NAME*

ADDRESS*

CITY*

CODE POSTAL*
BUSINESS FIELD*
E-MAIL ADDRESS*  
WEBSITE ADDRESS : 
STATE, COUNTRY
NUMBER OF EMPLOYEES*

WHICH PRODUCT(S) AND/OR SERVICE(S) FROM THE LIST BELOW HAVE YOU PURCHASED IN THE LAST 12 MONTHS ?* 
( multiple choices possible with "ctrl" or "command")

OTHERS 

WHICH PRODUCT(S) AND/OR SERVICE(S) FROM THE LIST BELOW ARE YOU PLANNING TO BUY IN THE NEXT 12 MONTHS ?* 
( multiple choices possible with "ctrl" or "command")

OTHERS 

FROM WHICH SOURCES DO YOU ACTUALLY CHOOSE YOUR SIGN AND/OR COMPUTER DESIGN SUPPLIER ? ( multiple choices )*



WHAT IS YOUR YEARLY BUDGET FOR SIGN AND PUBLICITY?
( one selection)*


WHAT VALUE WOULD YOU ATTRIBUTE TO THE DIFFERENT ASPECTS OF THE SIGN REALISATION? *
(values go from 1 " most important" to 6 "the least important"
it is possible to have more than one item in the same importance level )
1st
2nd
3rd 4th 5th 6th
DESIGN 
DURABILITY 
MESSAGE 
SERVICE 
EFFICIENCY 
PRICE 

CONCERNING THIS WEB SITE

HOW WOULD YOU QUALIFY THE DESIGN OF THIS SITE?
NO INTEREST ORDINARY NICE BEAUTIFUL

HOW WOULD YOU QUALIFY THE INFORMATION IN THIS SITE ?
USELESS INCOMPLETE CLEAR AND PRECISE  VERY INSTRUCTIVE

WOULD YOU RECOMMEND THIS SITE TO ACQUAINTANCES ?
NO NOT SURE YES ALWAYS

FUTUR INFORMATIONS

WOULD YOU LIKE US TO KEEP YOU INFORMED ON OUR PRODUCTS AND SERVICES ? *
YES NO

IF YES, BY WHICH MEAN DO YOU PREFER RECEIVING YOUR COMMUNICATIONS ?
E-MAIL REGULAR MAIL

ADD ANY COMMENT HERE

PERMISSION TO PUBLISH THE COMMENT ?
YES NO


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