A Questionnaire leading to a survey for introducing a new toothpaste in the market.
(1) The aim of this questionnaire is to survey for introducing a new toothpaste in the market.
(2) We assure you the information given by you will be kept confidential.
(3) Kindly return the properly filled questionnaire as early as possible. Thank you.
Part One
(To be answered by consumers)
1. Name: ______________
2. Age: _____yrs.
3. Education: ___________
4. Sex: Male ( ) Female ( )
5. Occupation: ____________
6. Total monthly income of the family: Rs.____________
7. Total members of the family:__________
8. Do you use Datun stick/tooth powder/tooth paste for cleaning teeth? Yes/No
9. What brand of tooth paste/ tooth powder do you use? _______
10. (a) Do you use the ‘Chamko” tooth paste? Yes/ No
(b) If not, why? ___________
11. How do you find ‘Chamko’ tooth paste? Tick mark the answer:
Cheaper than other tooth pastes ( )
Costlier than other tooth pastes ( )
Better in quality ( )
Its quality is not upto the mark ( )
It has a fine taste ( )
You do not like its taste. ( )
12. Which size do you generally prefer when you buy a tooth paste? Tick mark:
Mini size ( 50 to 70 grams) ( )
Medium size (100 to 150 grams) ( )
Super size (150 to 200 grams) ( )
Family size (200 to 250 grams) ( )
Economy Size 250 to 300 grams) ( )
13. How do you select your tooth paste ?
By doctor’s advice ( )
By grandmother’s advice ( )
By its price ( )
By its quality ( )
By extra gifts ( )
By its taste ( )
Buy at random ( )
14. Do you believe that toothpaste is more convenient than tooth powder? Yes/No
15. Would you like to get the ‘Chamko’ toothpaste in the powder form? Yes/No
16. Do you know that bacteria grow in the food particles left between your teeth, can cause bad odour and painful decay? Yes/No
17. Do you know that ‘Chamko’ toothpaste’s unique, active foam reaches deep in your teeth to remove the dangerous food particles and bacteria? Yes/No
18. Do you know that ‘Chamko’ toothpaste is the most effective to freshen mouth, whitens teeth and fights decay? Yes/No
19. Do you know that most doctors prescribe ‘Chamko’ toothpaste for the protection of gums? Yes/No
20. Do you know that the production of ‘Chamko’ has been increasing at the rate of 50% to 65% each month? Yes/ No
Part Two
(For Customers only)
1. Name: _______
2. Address:____________
3. Age:____
4. Sex: Male ( ) Female ( )
5. Education: _____
6. How many of your customers/consumers prefer toothpaste than tooth powder?
nearly 25% ( ) nearly 50% ( ) nearly 75% ( ) nearly 90% ( )
7. How many customers/ consumers demand ‘Chamko’ toothpaste in particular? Tick Mark:
nearly 25% ( ) nearly 50% ( ) nearly 75% ( ) nearly 90% ( )
8. Which brand of toothpaste is more popular among your customers/consumers? _____
9. (a) Have you any difficulty in getting the quota of ‘Chamko’ toothpaste? Yes/ No
(b) If yes, give details. ___________
11. What suggestions would you offer for making the ‘Chamko’ toothpaste still more popular among the customers? Tick mark:
Quality improvement ( )
Different colours ( )
Different tastes ( )
Offer an extra gift ( )
Better advertising ( )
More attractive packing ( )
Slogan competition ( )
Any other ( )
Thanks for co-operation.