Health Food Store

Health Store Survey

Please READ each question carefully before answering.

For your chance to WIN one of 8 great prizes, you must complete ALL of the questions below.
*** Incomplete surveys will not be eligible for a prize. ***

1 Your Age

2 Sex

Male ... Female

3 Marital Status

4 In which industry do you currently work?

Other:

5 What is the approximate combined yearly income of all the people living in your household.

6 How many children do you have?

Number of Children 15 years or younger: Number of Children 16 years or older:

7 Which health store(s) do you visit? Please give store name(s)?

8 What products do you buy at the health store(s)? Please list.

9 What products would you like to see in your health store(s) that they just do not seem to stock?

10 Which products in your health store(s) are always hard to find or out of stock when you want them?

11 If you order a product from your health store(s) that they do not usually stock (ie. homeopathic, tincture etc.), how long does it usually take to arrive?

A couple of days About a week A couple of weeks A month or more

12 Are you satisfied with the amount of information available in your health store(s)?

Yes .......... No

13 Are you satisfied with the level of knowledge the health store(s) staff have?

Yes .......... No

14 What is the one product you do not want to see in your health store(s) that they seem to stock all the time?

15 Apart from products, what types of services does your health store currently offer?

16 Apart from products, which services would you like your health store(s) to offer that they do not currently offer?

17 Do you have one or more health store loyalty cards?

Yes .......... No

18 How much do you typically spend at your health store(s) each visit?

19 Do you think that the prices for products at your health store(s) are reasonable?

Yes .......... No

20 Do you think that the prices for services at your health store(s) are reasonable?

Yes .......... No .......... Don't know, I do not use services / My store has no services

21 Has your doctor ever recommended that you buy a product from a health store?

Yes .......... No

22 Which on-line health store(s) do you visit? Please give the web site address for these stores.

23 What types of products/services do you buy from the on-line health store(s) that you visit? Please give descriptions of products.

24 How much do you typically spend at the on-line health store(s) each visit?

For YOUR CHANCE to WIN one of 8 great prizes, you must leave your details below:

Title: First Name: Surname:

Your E-mail:

Re-enter your e-mail address:

Your State/Province: Your Postal/Zip Code: Your Country:

Please make sure that you have completed all of the questions before pressing "SEND MY SURVEY"
You also acknowledge that by pressing the "SEND MY SURVEY" button below, you have
read, understood and accepted the terms & conditions for this competition.

5	What is the approximate combined yearly income of all the people living in your household.

6	How many children do you have?
	Number of Children 15 years or younger:	Number of Children 16 years or older:

7	Which health store(s) do you visit? Please give store name(s)?

8	What products do you buy at the health store(s)? Please list.

9	What products would you like to see in your health store(s) that they just do not seem to stock?

10	Which products in your health store(s) are always hard to find or out of stock when you want them?

11	If you order a product from your health store(s) that they do not usually stock (ie. homeopathic, tincture etc.), how long does it usually take to arrive?
	A couple of days	About a week	A couple of weeks	A month or more

12	Are you satisfied with the amount of information available in your health store(s)?
	Yes .......... No

13	Are you satisfied with the level of knowledge the health store(s) staff have?
	Yes .......... No

14	What is the one product you do not want to see in your health store(s) that they seem to stock all the time?

15	Apart from products, what types of services does your health store currently offer?

16	Apart from products, which services would you like your health store(s) to offer that they do not currently offer?

17	Do you have one or more health store loyalty cards?
	Yes .......... No

18	How much do you typically spend at your health store(s) each visit?

19	Do you think that the prices for products at your health store(s) are reasonable?
	Yes .......... No

20	Do you think that the prices for services at your health store(s) are reasonable?
	Yes .......... No .......... Don't know, I do not use services / My store has no services

21	Has your doctor ever recommended that you buy a product from a health store?
	Yes .......... No

22	Which on-line health store(s) do you visit? Please give the web site address for these stores.

23	What types of products/services do you buy from the on-line health store(s) that you visit? Please give descriptions of products.

24	How much do you typically spend at the on-line health store(s) each visit?

Please make sure that you have completed all of the questions before pressing "SEND MY SURVEY" You also acknowledge that by pressing the "SEND MY SURVEY" button below, you have read, understood and accepted the terms & conditions for this competition.