Which products do you prefer from our current offerings?
Product A Product B Product C Product D Other
What services do you find most valuable from us?
Service A Service B Service C Service D Other
How satisfied are you with our product quality?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
How likely are you to recommend us to others?
Highly likely Likely Neutral Unlikely Highly unlikely
What improvements would you like to see in our products/services?
More variety Better pricing Enhanced customer service Faster delivery Other
How do you usually interact with our products/services?
In-person Online Telephone Email Other
All set, how can we reach you?
Name
Email
Phone
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