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How often do you conduct surveys?
 
daily
 
weekly
 
monthly
 
 
 
How would you rate your
overall satisfaction with us?
 
Completely unsatisfied
 
Somewhat unsatisfied
 
Slightly unsatisfied
 
Neither satisfied nor unsatisfied
 
Slightly satisfied
 
Somewhat satisfied
 
Completely satisfied
 
 
 
Which range includes your
age?
 
10-20
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71-80
 
81-90
 
91-100
 
100+
 
 
 
How long have you used
our products/service?
 
• Less than 6 months
 
• 1 year to less than 3 years
 
• 3 years to less than 5 years
 
• 5 years or more
 
 
 
Overall, how satisfied are you with your membership?
 
• Very satisfi ed
 
• Somewhat satisfi ed
 
• Neutral
 
• Somewhat dissatisfi ed
 
• Very dissatisfi ed
 
 
 
Do you think our prices are fair?
 
Completely unsatisfied
 
Somewhat unsatisfied
 
Slightly unsatisfied
 
Neither satisfied nor unsatisfied
 
Slightly satisfied
 
Somewhat satisfied
 
Completely satisfied
 
 
 
How often do you use the following benefits of discounts and membership card?
 
Very infrequently
 
• Infrequently
 
• Frequently
 
• Very frequently
 
• Do not use
 
• Was not aware of
 
 
 
How often do you read our
newsletter?
 
• Always
 
• Frequently
 
• Sometimes
 
• Rarely
 
• Never
 
 
 
How satisfied are you with our website?
 
• Very satisfi ed
 
• Somewhat satisfi ed
 
• Neutral
 
• Somewhat dissatisfi ed
 
• Very dissatisfi ed
 
 
 
Have you had any problems with any products you have brought and were you able to fix the problem?  
 
Yes
 
Never
 
• Problem is still unresolved
 
problem was solved
 
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