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How long have you used our products?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
 
How frequently do you purchase from us?
 
Every day
 
Every week
 
Every 2 - 3 weeks
 
Every month
 
Every 2 - 3 months
 
Every 4 - 6 months
 
Once or twice a year
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
 
On a scale of 1 - 5, how likely are you to continue doing business with us?
 
5 - Very likely
 
4 - Somewhat likely
 
3 - Neutral
 
2 - Somewhat unlikely
 
1 - Very unlikely
 
 
 
On a scale of 1 - 5, what is the likeliness that you will recommend our product to a friend?
 
5 - Very likely
 
4 - Somewhat likely
 
3 - Neutral
 
2 - Somewhat unlikely
 
1 - Very unlikely
 
 
 
Do you have any suggestions for improving our products?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
How old are you?
 
Younger than 18
 
18 - 25
 
26 - 35
 
36 - 45
 
46 - 55
 
Older than 55
 
Prefer not to answer
 
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