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How would you rate the condition of the following?
Excellent Good Average Poor
House
Shed
Car (black)
Car (Blue)
Truck
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
Please rate the following:
Books
Movies
Music
 
 
 
Any comments on the above?
   
 
 
 
What is your name?
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
Please rate the following:
Books
Movies
Music
 
 
How would you rate the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
Who will win the SuperBowl?
 
Seattle Seahawks
 
New England Patriots
 
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