StartSampling: Sample Sighting


Have you received a sample lately in your morning paper, in the mail, at an event, in your local supermarket, or on the Internet? If so, please tell us about it. Your answers to the following questions will help us offer a wide range of samples to you in the future. Also, as you receive additional samples in the future, tell us about those as well. Thanks!

1.	Please fill in the name of the product you received (e.g., Tabasco Hot Sauce).


2.	Where did you receive the sample?
	Event (ballgame, fair, etc.)
	Newspaper
	In-store
	Door-hanger
	In the mail
	On a street corner
	Internet
	Other

3.	When did you receive the sample? Please tell us the approximate date. (MM/DD/YY)


4.	Was the sample a trial-size, or a full-size product?
	Trial size
	Full size
	Don't remember

5.	Was the sample in good condition when you received it?
	Yes
	No
	Not sure / don't remember

6.	Have you tried the sample?
	Yes
	No
	No, but I gave it to someone else to try

7.	Overall, what did you think of the sample?
	Liked it a lot
	Liked it somewhat
	Neither liked nor disliked
	Didn't like it

8.	Did the sample come with a coupon, recipe book, or other marketing literature? Check all that apply.
	Coupon
	Recipe Book
	Special Offer
	Marketing Literature
	Other

9.	Did you buy the product after sampling it?
	Yes
	No (Please skip question 10)

10.	How soon did you buy the product after sampling it?
	I did not buy the product
	Immediately
	Within a week
	Within a month
	A month or more
	I don't remember

11.	Did you have an opportunity to provide additional comments / feedback on the sample and the sampling experience?
	Yes
	No
	I don't remember

12.	Do you have any other comments about the sample you received?


	Thank you for providing us with this information. If you received multiple samples recently and would like to tell us about them, please fill out this form separately for each sample received. Thanks. We will not be awarding Frequent Tryer Miles for providing feedback.

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