What is your age group?
Under 18 18-24 25-34 35-44 45-54 55-64 65+
What is your gender?
Male Female Non-binary Prefer not to say
How often do you interact with local businesses?
Daily Weekly Monthly Rarely Never
What is your preferred method of communication with businesses?
Email Phone In-person Social Media Other
What factors influence your decision to return to a local business?
Customer service Product quality Price Location Online reviews
All set, how can we reach you?
Name
Email
Phone
(Details here)
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