JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Design 5405 Bed Bug Survey
Please answer the following questions to the best of your ability.
Sign in to Google
to save your progress.
Learn more
What is your gender?
Male
Female
Clear selection
What is your age?
18-21
22-25
25-30
30-40
40-50
50+
Clear selection
Have you ever had an experience with a bed bug infestation?
Yes
No
On a scale of 1 to 10 how well would you rate your knowledge of Bed Bugs?
With 1 being none at all and 10 being an expert.
1
2
3
4
5
6
7
8
9
10
Clear selection
Where would you normally go to learn about bed bugs?
Internet
Books
Pest control company
Other:
What would your first action be if you suspected a bed bug infestation within your home?
Call an exterminator immediately
Seek additional information on bed bugs
Call a licensed detection service
Clear selection
Have you ever heard of Four Paws K-9 Detection?
Yes
No
Clear selection
What do you think the main focus of the company is?
Your answer
Would you be comfortable with a trained dog coming into your home?
Yes
No
Clear selection
How much money would you be willing to spend on a detection service?
If you suspected an infestation within your home.
$0-50
$50-100
$100-200
$200+
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
