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Exit Survey
 
 
Where do you purchase our products? Select all that apply.
 
In our store
 
Online
 
Telephone order/catalogue
 
Through a dealer
 
Through an agent
 
Through a wholesaler
 
Other
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
Comment:
 
 
 
How likely are you to continue using our products?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How do we rate in comparison to other companies that offer the same products?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
How does our product quality compare to similar products on the market?
 
Much better
 
Slightly better
 
About the same
 
Slightly worse
 
Much worse
 
 
 
How likely are you to recommend our company?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How likely are you to use our company again in the future?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
How many children do you have?
 
no children
 
1 child
 
2 children
 
3 children
 
more than 4 children
 
 
 
Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
How did you first hear about [PRODUCT]?
 
TV
 
Radio
 
Magazine
 
Newspaper
 
Internet
 
Friend/relative/associate
 
Haven't heard of it before
 
Not sure
 
Other
 
 
 
 
How did you find out about this particular model?
 
Newspapers
 
Newspaper supplement
 
Magazines
 
Direct Mail
 
Television
 
Radio
 
Catalog
 
A friend
 
Retailer
 
Store display
 
Other