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Questions marked with a * are required Exit Survey
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to dicslose

 
 
 
How old are you?
 
20-30
 
31-40
 
41-50
 
51-60
 
 
 
How long have you been you been buying our products?
 
0-2 years
 
2-4 years
 
4-6 years
 
6-8 years
 
8-10 years
 
Other
 
 
 
 
 How often do you buy our products?
 
Regularly
 
Somewhat regularly
 
Less regularly
 
Not sure

 
 
 
Where do you buy our products? (Select all that apply)?
 
Our stores
 
Our suppliers
 
Online

 
 
How satisfied are you with the following:
Customer Care
Delivery time
Purchase experience
Product quality
Our suppliers
 
 
 
How do you rate us against other companies?
 
Highly
 
Somewhat highly
 
Lowly
 
Neutral

 
 
 
what is the likelyhood of using our product in the future?
 
Highly likely
 
Somewhat
 
Highly unlikely
 
Not sure

 
 
 
* If your answer to the previous question is highly unlikely, what could be your reason?
   
 
 
 
* Suggestions that you think should be incorporated?