REQUEST FOR QUOTATION

Methodology

	Telephone/CATI		Face to Face
	CAPI		Internet Survey
	Telephone Pre-recruit		Other(FocusGroup,Panel,etc.)

Type of Study

Select all that apply

Consumer

Business-to-Business

Select all that apply

Qualitative

Quantitative

Other

Sample


	Provided by Client/Customer Base
	Recruited by Direct Resource, Inc.

Qualification of Respondents (Please be specific. E.g. Fortune 500 Senior level decision makers, Head of household between the ages of 21 & 65)

Study Specifics

Frequency of Study (One-Time, Once a Month, Monthly, Quarterly, Annually, e.g.)

# Of Locations (If Applicable)

# Of Completes Desired

Approx. Length of Interview (mins)

# Of Open-Ends questions

Do you wish to have us add:

	Coding
	Translations
	Transcriptions

# Of Closed-Ends questions

Estimated *Incidence (The frequency of something occurring in the population)

Incentives

	Provided by you or Client
	Obtained by Direct Resource, Inc.

Describe what form or value of Incentive will be used?

Type of Invitation

E-mail

Point-Of-Sale (Receipt or Handout)

Mailed Invitation

Questionnaire

Provided by client

Developed by Direct Resource, Inc.

Reporting Desired

Cross-Tabulations

Full Report (Customized to Client's Needs)

Excel

SPSS

ASCII

Raw Data

Online Reporting

Additional Comments

Please provide any additional information about your project such as start and end dates, equipment needs, quota group(s) criteria, country/cities where study is to be conducted, etc.

Contact Information

* = Required fields

	* Contact Name
	* Company Name
	Title
	* Telephone Number
	Fax Number
	E-mail

When would you like to receive a quote by?

Date

Time

Which method do you prefer we use to contact you with your quote?

E-mail

Fax

Telephone

Thank you! We will contact you soon.