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Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.
 
 

You are invited to join a short survey being held among the customers of COMPANY/BRAND X.

There are only seven questions, and it will take about four minutes of your time.

We will keep all your information confidential and will not transmit it to any third parties.

If you have any questions about this survey, please contact me directly at my email address provided below.

Thank you for your participation!

Jay Curry
[email protected]
 
 

Below are seven statements about your relatioship with COMPANY/BRAND X.

Imagine if COMPANY/BRAND X were a person and was able to act like and do things people do.

Please indicate your feelings about COMPANY/BRAND X if COMPANY/BRAND X were a person.
 
 

There would be something missing in my life if COMPANY/BRAND X did not exist.
Agree Disagree
 
 

I have the feeling that I really understand COMPANY/BRAND X.
Agree Disagree
 
 

I have feelings for COMPANY/BRAND X that I do not have for other companies/brands.
Agree Disagree
 
 

COMPANY/BRAND X has always been good for me.
Agree Disagree
 
 

COMPANY/BRAND X and I have a lot in common.
Agree Disagree
 
 

COMPANY/BRAND X reminds me of things I have do and places where I have been.
Agree Disagree
 
 

CMPANY/BRAND X can always count on me.
Agree Disagree
 
 

I trust COMPANY/BRAND X.
Agree Disagree
 
 

Thank you for taking part in this survey. It will help COMPANY/BRAND X to understand its customers better.
 
 
 
Have you ever ordered [PRODUCT] from [COMPANY]?
 
Yes
 
No
 
 
 
Overall, how would you rate [COMPANY]?
 
Excellent
 
Good
 
Average
 
Poor
 
Terrible
 
 
 
How satisfied are you with your service from [COMPANY]?
 
Extremely satisfied
 
Very satisfied
 
Neutral
 
Very dissatisfied
 
Extremely dissatisfied
 
 
 
Would you recommend [COMPANY] to a friend?
 
Yes
 
No
 
 
 
If no, why not?
   
 
 
 
For your NEXT [PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
 
Very likely
 
Somewhat likely
 
Not sure
 
Somewhat unlikely
 
Very unlikely
 
 
 
Which of the following modes did you use to place the LAST order for [PRODUCT]?
 
Mail order
 
Internet
 
Over the phone
 
Fax
 
Other
 
 
 
 
What are the THREE main reasons you didn't purchase [PRODUCT] from [COMPANY]?
   
 
 
 
If you could change something about [COMPANY] what would it be?
   
 
 
 
Are there any other comments you have for [COMPANY]?
   
 
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