Which of our products/services do you value the most?
Product A Service B Product C Service D Other
How satisfied are you with our customer service?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
In which area do you believe we can improve?
Product quality Shipping efficiency Communication Pricing Other
Do you have any suggestions for new offerings or enhancements?
Yes No
How likely are you to recommend us to others?
Very likely Likely Neutral Unlikely Very unlikely
Would you like to provide any additional feedback?
Yes No
All set, how can we reach you?
Name
Email
Phone
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