How did you hear about us?
Social Media Friend Referral Online Search Other
What product are you interested in?
Electronics Home Appliances Clothing Books
How often do you shop online?
Daily Weekly Monthly Rarely
What is your primary concern?
Price Quality Brand Variety
Which feature do you value most?
Fast Delivery Easy Returns Customer Support Eco-Friendly
How likely are you to recommend us?
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Name
Email
Phone
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