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First Name : 
Last Name : 
Email Address : 
 
 
What day did you visit the store?
 
 
What location did you visit?
 
North
 
Central
 
 
North: What was the name of your bud tender?
 
 
Central: What was the name of your bud tender?
 
 
How was your experience with the bud tender?
«UnsatisfactoryExcellent»
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How was your experience in the store?
«UnsatisfactoryExcellent»
012345678910
 
 
How likely are you to refer a friend to our store?
«Very UnlikelyVery Likely»
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What product did you try?
 
 
What was the strain you tried?
 
 
Was the product to your expectations?
«UnsatisfactoryExcellent»
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How satisfied are you with the following?
Poor Average Excellent
Sight
Taste
Smell
Effect
 
 
How satisfied are you with the O.penVAPE product?
Poor Average Excellent
Taste
Effect
Resistance
 
 
How satisfied are you with the O.penVAPE Bakked product?
Poor Average Excellent
Taste
Effect
Resistance
 
 
Any additional comments/suggestions: