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1. How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
Other
 
 
 
 
2. What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club
 
Other
 

 
 
 
3. How often do you conduct surveys?
 
 
 
4. Comments/Suggestions:
   
 
 
 
5. Comments/Suggestions:
   
 
 
 
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
7. How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
 
8. What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club
 
Other
 

 
 
9. How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
Website
Customer Service
Overall
 
 
 
10. Please drag and rank(1st to 3rd) the following in order of interest:
Drag your choices here to rank them
     
     
     
    11. Please rank (1-3) the following in order of interest:
    Skiing
    Snowboarding
    Biking
     
     
     
    12. Please allocate 100 points on how you spend your income:
    Essentials (Gas, Grocery etc.)
    Entertainment (Movies, Clubs etc.)
    Other
    0
     
     
    13. Please rate the following:
    Books
    Movies
    Music
     
     
     
    14. How satisfied are you with our services?
    Very Unsatisfied
    Unsatisfied
    Neutral
    Satisfied
    Very Satisfied
     
     
     
    15. What do you think of Starbucks?
    Love it
    Hate it
     
     
     
    16. How often do you conduct surveys?
    1
    2
    3
     
     
     
    17. What types of credit cards do you have (Select all that apply)?
    11
    22
    33

     
     
    18. How satisfied are you with the following:
    q
    w
    e
     
     
    19. Please rate your video
    Comments
     
     
     
    20. Descriptive / Spacer Text Here
     
     
     
    21. What is your date of birth?
    MonthDayYearHrs.Mins.AM/PM
        
     
     
    22. 
     
    ImportanceSatisfaction
    Not ImportantVery Important
    Not SatisfiedVery Satisfied
    1234512345
    Customer Service
    Product Packaging
    On-Time Arrival
     
     
     
    23. How likely would you be to recommend our products to a friend or colleague?
    «Very UnlikelyVery Likely»
    012345678910
     
     
    24. How satisfied are you with the following:
    Website
    -
    Customer Service
    -
    Overall
    -
     
     
     
    25. Upload your file below