Customer Feedback Survey Template

Thanks for shopping with us! We want to hear more from you. Could you spend a moment to share your experience with us!
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1.
How satisfied are you with the product/service you received?
Very dissatisfied
Very satisfied
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2.
What was the main reason for rating [q1]?
Quality of product/service
Delivery time
Customer service
Price
Other (please specify)
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3.
Was there anything that you particularly liked about our product/service?
Yes - please specify
No
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4.
Was there anything about our product/service that you did not like?
Yes - please specify
No
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5.
Did you encounter any problems while using our product/service?
Yes - please specify
No
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6.
Do you have any suggestions for how we could improve our product/service?
Yes - please specify
No
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7.
How likely are you to purchase our product/service again in the future?
Very unlikely
Very likely
8.
Would you be interested in receiving a 20% discount on your next purchase? If so, please provide your email address to receive the coupon.
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