Questionnaire on Mouthwash

Dear Sir/Madam,        Thank you for completing this questionnaire.Your feedback will be of great help to us.After finish the questionnaire,please hand it back to our salesperson.If you leave your address,we will mail you our latest catalog and a sample of our products.

Q1:Your gender:

Female
Male

Q2:How often do you use mouthwash?

Every day
Every other day
From time to time
Seldom
Never

Q3:Which brand of mouthwash have you ever used?

Colgate
The Chinese Toothpaste
Darlie
Nice
Others

Q4:What is the most important factor you will consider when buying mouthwash?

Price
Effect
Brand
Fragrance
Others

Q5:Which fragrances do you prefer?

Green tea
Herb
Mint
Others

Q6:Have you ever heard of the brand of Colgate?

Yes
No

Q7:How did you hear about our Colgate products?

TV commercial
Recommendation by shop assistants
Recommendation by friends
Never heard of your product

Q8:What do you expect from Colgate mouthwash?

Whitening
Preventing of oril disease 
Preventing tooth clecay
Remove the odor

Q9:How much can you accept the price range of monthwash?

RMB1~5
RMB5~10
Above RMB11

Q10:Would you like to try our new product?

Yes
Maybe
No
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Questionnaire on Mouthwash
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