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2013
October
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Have you ever ordered [PRODUCT] from [COMPANY]?
Yes
No
Overall, how would you rate [COMPANY]?
Excellent
Good
Average
Poor
Terrible
Not Sure
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
Not Sure
If no, why not?
Which of the following modes did you use to place the order for [PRODUCT]?
Mail order
Internet
Over the phone
Fax
Other
Are there any other comments you have for [COMPANY]?
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