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How long have you been purchasing our products?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years

 
How do we rate on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
Customer service experience
Professionalism
Purchase experience
Quality of products
Understanding customers' needs
 
 
Do you have any suggestions for improvement?
   
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral

 
 
Would you like to recommend our product? (if yes)

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                                                                                                                                                Customer Signature