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How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club

 
 
 
How often do you conduct surveys?
 
 
 
Comments/Suggestions:
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
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
 
 
Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
Customer Service
Product Packaging
On-Time Arrival
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
-
Customer Service
-
Overall
-
 
 
 
Considering your complete experience with our company, how likely would you be to recommend our products to a friend or colleague?
«Very UnlikelyVery Likely»
012345678910
 
 
 
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