How often do you purchase from us?
Weekly Monthly Quarterly Annually Rarely
What is your favorite product from us?
Product A Product B Product C Product D Other
How do you prefer to purchase from us?
Online In-store Phone order Mobile app Other
What influences your purchasing decisions the most?
Price Quality Brand reputation Product features Customer reviews
Would you recommend us to a friend?
Definitely Likely Never Not sure
What improvements would you like to see in our products/services?
More variety Better quality Improved customer service Faster delivery Other suggestions
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Name
Email
Phone
(Details here)
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