How long have you been a customer with us?
Less than 1 year 1-3 years 3-5 years 5+ years
Which product from our range do you frequently purchase?
Product A Product B Product C Multiple products I don't purchase regularly
How would you rate our customer service?
Excellent Good Average Below average Poor
What makes you choose our brand over others?
Product quality Customer service Price competitiveness Other
Would you recommend our brand to others?
Definitely Likely Not sure Unlikely Definitely not
All set, how can we reach you?
Name
Email
Phone
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