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0%
 
 
How long have you used [SERVICE]?
 
Less than one month
 
1 to 6 months
 
6 months to a year
 
1 to 3 years
 
Over 3 years
 
Never
 
Other
 
 
 
 
How often do you use [PRODUCT/SERVICE]?
 
Daily
 
Once/week or more
 
1 to 3 times a month
 
Once/month
 
Every 2-3 months
 
2-3 times a year
 
Other
 
 
 
 
Overall, how satisfied are you , with [PRODUCT/SERVICE]?
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
 
How likely are you to use/purchase [PRODUCT/SERVICE] again?
 
Very likely
 
Probably
 
Maybe
 
Probably not
 
Definitely not
 
Never used
 
 
 
Would you recommend [PRODUCT OR SERVICE] to others?
 
Definitely
 
Probably
 
Maybe
 
Probably not
 
Definitely not
 
Never used
 
 
 
What recommendations would you offer for improving [PRODUCT/SERVICE]?
   
 
 
 
Thank you for your feedback.
 
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