Organization: EZDataOnTheWeb |
Text File for the Sample Web-Based Survey
Organization: EZDataOnTheWeb |
Sample Web-Based Survey
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EZDataOnTheWeb
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| Welcome to our example survey. Please answer the questions and submit the survey and you will be allowed to download the results into a spreadsheet on your computer. |
General Information
1
What is your Email address? Web-based Surveys
2
Are you interested in doing Web-based surveys? SELECT ONE
Yes
No (If no, please skip to Question 5.)
3
How often do you plan on doing surveys?
4
Why are you interested in doing surveys? (check all that apply) Check on customer satisfaction
Find out what my customers want
Other; please specify:Experience
5
Describe your experience with Web-based surveys
Thank You
Thank you for talking part in our survey. Please visit our Web site to learn more about doing surveys on the web.
Have All Survey Questions Been Answered?
Please check this box when you have completed the survey.
You can change your responses at any time by re-taking the survey Comments
Please enter any comments you might have about this survey:
Internet database and tracking services provided by Chesapeake Data Systems
Submit Survey
Thank you for taking the time to complete this survey.
Press this button to submit your response.
Please check your answers carefully. You can change them at later date by re-starting the survey.
Problem? Contact survey@chesdata.com
Forms  |
Our surveys contain the following forms:
| Form | Description |
| Login Form | Displays when the user links to the survey form. Prompts for email address and can check for valid email address |
| Survey Form | Contains the survey questions |
| Submitted Form | Displays after the user has entered the survey (to acknowledge that the data has been entered) |
| Already Submitted Form | Displays if the user has already entered a survey |
| Rules |
All of the specifications for the survey are contained in a text file uploaded to our site (click here to view a sample text file). The text file must be formatted according to the rules given below. Note that the survey text file contains four separate parts1. Organization name and survey title
2. Survey headers, messages, and questions
3. Survey questions, checkboxes, radio buttons, text boxes, etc
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The "Tags" used in the survey text are described in the following tables. |
1. Organization name and survey title
| Tag | Description | How Used | Sample Text | Sample Display |
| Organization: *required |
Name of the organization | Appears at the top of the survey, and appears at the top of the Login form |
Organization: EZData Surveys |
EZData Surveys |
| Title: *required |
Title of the survey | Appears at the top of the survey, and appears at the top of the Login form |
Title: Sample Survey |
Sample Survey |
2. Survey headers, messages, and questions
| Tag | Description | How Used | Sample Text | Sample Display | |
| Header: *required |
Used to divide the the survey into sections | Displays text in a colored bar | Header: General Information. Please answer... |
General Information. Please answer... |
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| Message: | Used to display a message to the user | Displays text in a colors box (Note that html tags can be used in messages) | Message: Please complete the survey by <B><I>July 1st</I></B> |
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| Name: | Used to specify the name of the field in the database.
The survey results will be down-loaded to your computer as a Microsoft
Excel Spreadsheet
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IF used, this tag must be placed AFTER the corresponding
question or text box
If there are multiple "check box" fields or "pull down" fields for a single question and field names are not specified for individual fields, the system will append "_1" to the first field name, "_2" to the second, etc. |
Default - Q1. What are the factory standard hours of operation? Custom Name - Q1. What are the factory standard hours of operation? Name: StdOpHrs |
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| Header: Thank you: *required |
Instructs the survey-generation program to insert the "Comments" field and "Submit" button | This must be in each survey and must be after the last
question.
Note that other headers and messages can follow this tag. The system will automatically insert a "Comments" text box after this heade |
Header: Thank you: |
Comments |
3. Survey questions, checkboxes, radio buttons, text boxes, etc
| Survey Text | Description | How Used | Sample Text | Sample Display | ||||||||||||
| Q. xxxx *one required |
Question number, where "Q" is any number and "xxx" is any text | Note that questions must be numbered sequentially starting from 1 and all of the text | 1. Email _____________ 2. Phone ___________ |
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| {}xxx | Specifies a radio button | Only one item can be selected per question; radio buttons can all be on the same line or they can be on separate lines | Are you interested...
{} Yes {} No |
Are you interested...
Yes No |
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| [ ] xxx | Specifies a "check box" | Multiple items can be selected per question | Credit cards you accept
[ ] Visa [ ] Master Card [ ] American Express [ ] Other, Specify _________ |
Credit cards you accept
Visa MasterCard American Express Other, Specify |
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| Pull Down Value1 Value2 <...> End Pull Down |
Specifies the values to appear in a "Pull Down" list | Select a Value Pull Down Value 1 Value 2 Value 3 Value 4 End Pull Down |
Select a Value | |||||||||||||
| xxx _____ | Designates a text entry field | The number of underlines indicates the number of characters that can be entered. Note that other text can be included on the same line. For questions answered with radio buttons, only one "text entry" field is allowed. | Phone ______________ | Phone | ||||||||||||
| __________ __________ __________ |
Designates a multi-column scrolling "text area" field | The number of underlines indicates the number of characters that can be entered and the number of lines specifies the number of rows in the text area. The data for this field will be stored in a "text" field in the database, which can contain an unlimited amount of text | Please give a brief description ____________________ ____________________ ____________________ ____________________ |
Please give a brief description |
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| $________ | Designates a currency entry field | The system will only allow valid number to be entered (the "$" will be displayed) | Ticket cost $_____ | Ticket cost $ | ||||||||||||
| _____ % | Designates a numeric entry field | The system will only allow valid numbers between 0 and 100 to be entered (the "%" will be displayed) | Percent of total ____ % | Percent of total % | ||||||||||||
| __/__/__ or __/__/____ | Designates a date field | The form will also display a "Pick" hyperlink to allow the user to pick the date from a calendar | Departure date __/__/__ | Departure date | ||||||||||||
| #________ | Designates a numeric entry field | The system will only allow valid number to be entered (the "#" will not be displayed) | Number of items in a case #____ | Number of items in a case | ||||||||||||
| Skip to Question x
Proceed to Question x |
Specifies that a "hyperlink" is to be created to allow the user to skip to another part of the survey | 1... 2. ...(If no, please skip to question 8.) 3... 4... 5... 6... 7... 8. What is the.... |
1... 2. ... (If no, please skip to question 8.) 3... 4... 5... 6... 7... 8. What is the.... |
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4. Survey Administration
The following tags are use to specify how the survey is "run" - security options. which forms to display, which fields to display on the form, etc.
| Tag | Description | How Used | Sample Text | Sample Display | |
| Contact: xxx *required |
The email address of the person to contact if there is a problem | Appears at the bottom of all forms | Contact: myself@aol.com | Contact: myself@aol.com | |
| Web Site: xxx | The Web site of the organization conducting the survey | Appears on the "Inserted" form (to allow the user to link to another Web form) | Web Site: www.secureaddress.com | Web Site: www.secureaddress.com | |
| Logo: xxx | The name of an image file | The image will be displayed at the top of the forms | Logo: ezdataonweb.gif |
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| Email List: xxx | List of Email Addresses | Contains the email address of the users expected to respond to the survey (separate email names by semi-colons (";") or comas (",") | Email List: donaldduck@disney.com; mickeymouse@disney.com; daffeyduck@warnerbros.com; homersimpson@fox.com; dave@daveandbusters.com; elmerfudd@disney.com; porkypig@disney.com |
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| Display: | Specifies if the Login form displays the organization name and survey title (defaults to "Yes") | If specified, the Login form does not display the organization name and address | Display: ezData Surveys |
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| Pin: xxx | Personal Identification Number (Admin Use) |
Must be provided to "administer" the survey (to review the survey results, upload files, etc) | Pin: EzDataSurvey |
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| Security: xxx | Specifies the security level of the survey:
None (default) Anonymous | If specified, the Login form will be displayed and an email
address will be required to start the survey; if "Email", the
email address entered by the user must match an email address specified in
the survey text file; if "Anonymous", anyone entering an email
address can take the survey
If "None", the user will only be able to submit one survey per session |
Security: Email | NO DISPLAY | |
| Update: | Specifies if the user can make changes to the survey at a later date (defaults to "no update" - once the user enters the survey, he/she cannot take the survey again) | If specified, the values for the survey will be initialized to the last values entered by the user (based on the user's email address) | Update: Yes | NO DISPLAY | |
| Redo: | Specifies if the user can make changes to the survey after marking it "Complete") (defaults to "no update after marked complete") | If specified, the user can update the survey after marking it "complete" | Redo: No | NO DISPLAY | |
| Introduction: xxx | Introductory text | Appears on the Login form to explain the survey | Introduction: Welcome to "Your" Survey. This survey is part of our... |
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| Validate: | Specifies if the email address must be validated against the ID assigned to the user | When using email addresses, each email address is assigned an ID. When emails are sent to the expected survey respondents, the email ID can be included in the link to the survey page. If "validate" is specified, the system will display the Login form only if the ID is passed as a parameter. The system will then validate the entered email address against the ID in the database. The user will only be able to take the survey if there email address/ID combination is valid. | Validate: Yes | NO DISPLAY |
