How long have you been a customer with us?
Less than 1 year 1-3 years 3-5 years 5+ years
How likely are you to try our new product launches?
Very Likely Likely Neutral Unlikely Very Unlikely
Which type of products are you most interested in from us?
Technology Fashion Fitness & Health Beauty & Personal Care
How do you prefer to hear about new product launches?
Email newsletters Social media In-store displays Word of mouth Other
What factors influence your decision to try a new product?
Price Brand reputation Product reviews Ingredients/materials Packaging
Would you be interested in participating in product beta testing?
Yes No
All set, how can we reach you?
Name
Email
Phone
(Details here)
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