How satisfied are you with your recent purchase/interaction?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
Which aspect of your experience stood out the most?
Product quality Customer service Delivery time Website usability Overall value
How likely are you to recommend us to a friend or colleague?
Highly likely Likely Neutral Unlikely Highly unlikely
Would you like to be contacted for further follow-up?
Yes No
All set, how can we reach you?
Name
Email
Phone
(Details here)
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