What demographic details are you comfortable sharing?
Age Gender Income Location None, prefer to keep private
How did you hear about our product/service?
Social media Online search Friend/family referral Advertisement Other
What influenced your first purchase decision?
Price Quality Brand reputation Product reviews Recommendation
Would you recommend us to friends/family?
Definitely Likely Unlikely Never
Which platform do you prefer for communication?
Email Phone Text message Social media No preference
All set, how can we reach you?
Name
Email
Phone
(Details here)
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