Which of our products/services do you use most frequently?
Product A Service B Product C Service D Multiple/All
What challenges have you encountered while using our products/services?
Technical issues Lack of customer support Confusing user interface Limited features Other, please specify
How often do you face these challenges?
Frequently Sometimes Rarely Never
Have these difficulties affected your overall satisfaction?
Yes, significantly Yes, but slightly No, not really Not sure
Would you like to suggest any improvements or features you'd like to see?
Yes No
How likely are you to recommend our products/services to others?
Very likely Likely Neutral Unlikely Very unlikely
All set, how can we reach you?
Name
Email
Phone
(Details here)
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