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Questionnaire template

Prospect Needs and Interest Form

Qualifies business leads by capturing role, industry, current challenges and views of your services.

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Marketing · Lead generation. All Marketing templates

Questions in this template

About You

  1. Thanks for sharing a few minutes with us. Your answers help us understand your situation so we can offer support that fits.

  2. Which best describes your position in your organisation?

    Choose one from a list:

    • Executive
    • Manager
    • Specialist
    • Staff member
    • Other
  3. Please describe your position.

    Asked only when q_role.outcome == 5

    Open answer

  4. How long have you held this position?

    Choose one:

    • Less than 1 year
    • 1 to under 3 years
    • 3 to 5 years
    • More than 5 years
  5. In which sector does your organisation mainly work?

    Choose one from a list:

    • Manufacturing
    • Retail and wholesale
    • Information technology
    • Finance and insurance
    • Healthcare
    • Education
    • Professional services
    • Public sector
    • Non-profit
    • Other
  6. Please name your sector.

    Asked only when q_industry.outcome == 10

    Open answer

Needs and Challenges

  1. Which obstacles are you dealing with at the moment? Select all that apply.

    Choose any that apply:

    • Limited budget
    • Allocating resources
    • Meeting deadlines
    • Integrating technology
    • Training staff
    • Other
  2. What other obstacle are you dealing with?

    Asked only when q_challenges.outcome is not None and q_challenges.outcome & 32 > 0

    Open answer

  3. How important is each of these to your everyday work?

    • Time management
    • Teamwork
    • Tools and technology
    • Communicating with clients

    For each row: choose one:

    • Very unimportant
    • Unimportant
    • Neutral
    • Important
    • Very important
  4. How often does your work call for new tools or updates to existing ones?

    Choose one:

    • Never
    • Rarely
    • Sometimes
    • Often
    • Always

Views on Our Services

  1. On a scale from 1 (very dissatisfied) to 10 (very satisfied), how satisfied are you with each of the following?

    • Customer support
    • Product reliability
    • Pricing
    • Ease of use

    For each row: choose one:

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10
  2. How likely is it that you would suggest our services to a colleague or friend?

    A number from 0 to 10

  3. What could we change to serve you better?

    Open answer

Wrap-up

  1. Are there features or services you would like us to add?

    Open answer

  2. Would you be willing to take part in a short follow-up conversation?

    Choose one:

    • Yes
    • No
  3. How would you prefer us to get in touch?

    Asked only when q_interview_willing.outcome == 1

    Choose one:

    • Email
    • Phone
    • Video call
  4. Please leave your contact details and the days or times that suit you best.

    Asked only when q_interview_willing.outcome == 1

    Open answer