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Questions marked with a * are required Exit Survey
 
 
How often do you conduct surveys? - single select
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
* What types of credit cards do you have (Select all that apply)? - multi select
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club

 
 
 
* How often do you conduct surveys? - drop down
 
 
 
* Comments/Suggestions:
   
 
 
 
* Name
   
 
 
 
* How many months have you been at your current residence?
   
 
 
 
* Email Address
   
 
 
Contact Information
* First Name : 
* Last Name : 
* Phone : 
* Email Address : 
 
 
How satisfied are you with the following: star rating
* Website
* Customer Service
* Overall
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
-
Customer Service
-
Overall
-
 
 
How satisfied are you with the following:
Overall
 
 
How satisfied are you with the following:
Website
-
Customer Service
-
Overall
-
 
 
 
What do you think of Starbucks?
Love It
Hate it
 
 
 
How satisfied are you with our services
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
How satisfied are you with the following: Matrix - single select
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How satisfied are you with the following: Matrix - Multi select
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
How satisfied are you with the following: Matrix - Spreadsheet
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
1234512345
Customer Service
Product Packaging
On-Time Arrival
 
 
 
Please rank (1-3) the following in order of interest: - rank order
Skiing
Snowboarding
Biking
 
 
 
Please allocate 100 points on how you spend your income: - COnstant sum
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
 
Please rank (1-3) the following in order of interest: Drag and Drop
Drag your choices here to rank them
     
     
     
    Please choose your favourite ice cream flavour:- Image chooser single select
    American Express
    DinersClub
    Discover
    Visa
     
     
     
    Which ice cream flavours do you like (Select all that apply)? - Image chooser - Select many
    American Express
    DinersClub
    Discover
    Visa

     
     
     
    Descriptive/Spacer Text Here
     
     
     
    What is your date of birth? Date/Time
    MonthDayYear
      
     
     
     
    Select Captcha and Verify - Captcha
       
     
     
     
    What is your date of birth? - Calender
     
     
     
    How often do you conduct surveys? - Brazil Map