How long have you been a customer with us?
Less than 1 year 1-3 years 3-5 years 5+ years I am a new customer
What has been your best experience with our services?
Customer service Product quality Timely delivery Variety of options Other
What areas do you feel we can improve upon?
Communication Pricing Website usability Product range Other
How likely are you to recommend us to others?
Very likely Likely Neutral Unlikely Very unlikely
Would you be interested in participating in focus groups or surveys to further improve our services?
Yes, definitely Maybe, depending on time No, thank you
All set, how can we reach you?
Name
Email
Phone
(Details here)
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