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[en] Customer Evaluation -#- 004 - Customer Buying Experience
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Thank you for purchasing from [COMPANY]. If you wish, you may leave feedback about your experience. Your opinion is very important for us.
Which product have you purchased?
[PRODUCT 1]
[PRODUCT 2]
[PRODUCT 3]
[PRODUCT 4]
[PRODUCT 5]
Other, please specify:
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Why was it purchased?
For myself
Family purchase
Business purchase
As a gift to someone else
Other, please specify:
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Where did you buy it?
[LOCATION 1]
[LOCATION 2]
[LOCATION 3]
[LOCATION 4]
[LOCATION 5]
Other, please specify:
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Have you purchased at this location before?
Yes
No
This block is required.
Will you please explain why you chose to purchase [PRODUCT] at this [LOCATION] instead of elsewhere?
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How much did you pay for [PRODUCT], $?
This block is required.
How would you judge the value for the price?
Excellent
Good
Neutral
Poor
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Did you use any coupons or receive a discount of any kind?
Yes
No
This block is required.
Are you satisfied with your purchase experience?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
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If you are dissatisfied, why?
This block is required.
Would you buy the product again?
Definitely
Probably
Probably not
Definitely not
Not sure
This block is required.
If no, why not?
This block is required.
If you have any additional comments in regard with your buying experience, please share them:
This block is required.
Please submit your contact information if you have any additional questions and would like us to contact you.
This block is required.
Are you interested in receiving email notifications of special discounts and promotions?
Yes
No
This block is required.
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