How often do you make purchases from us?
Weekly Bi-weekly Monthly Occasionally Rarely
How many items do you typically purchase per order?
1-2 3-5 6-10 More than 10 Varies
Where do you prefer to make your purchases?
Online In-store Both equally Depends on the product Other
What factors influence your buying decisions?
Price Quality Customer service Brand reputation Product reviews
What are your favorite products/services from us?
Product A Service B Product C Service D Other
How likely are you to recommend us to a friend?
Very likely Likely Neutral Unlikely Very unlikely
All set, how can we reach you?
Name
Email
Phone
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