Which specific channel or medium did you first learn about our products/services?
Word of mouth Online advertisement Social media Search engine In-person event
How satisfied are you with the information you received?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
Would you recommend our products/services to others?
Definitely Probably Not sure Unlikely Never
How likely are you to engage with us in the future?
Very likely Likely Neutral Unlikely Very unlikely
All set, how can we reach you?
Name
Email
Phone
(Details here)
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