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Questions marked with a * are required Exit Survey
 
 
* How often do you conduct surveys?
 
A
 
B
 
C
 
D
 
Other
 
 
 
* What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club
 
Other
 

 
 
 
How often do you conduct surveys?
 
 
 
* What types of credit cards do you have (Select all that apply)?
   

 
 
 
* Comments:-
   
 
 
 
* Name
   
 
 
 
* How many months have you been at your current residence?
$    
 
 
 
* Email Address
   
 
 
Contact Information
* Please enter your first name : 
* Please enter your last name : 
* Phone : 
* Email Address : 
 
 
How satisfied are you with the following:
* Website
* XYZ
* AbC
* Customer Service
* Overall
 
 
How satisfied are you with the following:
Very Dissatisfied Very Satisfied
* Website
-
* Customer Service
-
* Overall
-
 
 
How satisfied are you with the following:
Overall
 
 
How satisfied are you with the following:
Very DissatisfiedVery Satisfied
* Website
-
* Customer Service
-
* Overall
-
 
 
 
* What do you think of Starbucks?
I like it
I don't like it
 
 
 
How satisfied are you with our services
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
How satisfied are you with the following:
Very DissatisfiedVery Satisfied
1 2 3 4 5 N/A
Website
Customer Service
Overall
 
 
How satisfied are you with the following:

Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Website
* Customer Service
* Overall
 
 
 
ImportanceSatisfaction3rd Dimesion
Not ImportantVery Important
Not SatisfiedVery Satisfied
Not GoodVery Good
12345N/A12345N/A12345N/A
Customer Service
Product Packaging
On-Time Arrival
 
 
 
* Please rank (1-3) the following in order of interest:
Skiing
Snowboarding
Biking
 
 
 
Please allocate 100 points on how you spend your income:
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
 
* Please rank (1-3) the following in order of interest:
Drag your choices here to rank them
     
     
     
    * Please choose your favourite ice cream flavour:
    Strawberry
    Butterscotch
    Vanilla
    Chocolate
     
     
     
    Which ice cream flavours do you like (Select all that apply)?
    Strawberry
    Butterscotch
    Vanilla
    Chocolate

     
     
    How satisfied are you with the following:
    Choco
    Butterscotch
     
     
     
    Descriptive/Spacer Text Heresdfasdfasdfasdfasdfsdfasd
     
     
     
    Buterscotch Ice Cream section
     
     
     
     
    * What is your date of birth?
    MonthDayYear
      
     
     
     
    Select Captcha and Verify
       
     
     
     
    How often do you conduct surveys?
     
     
    How satisfied are you with the following:
    1 2 3 4 5
    Overall
     
    Flipkar