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How satisfied are you with the following:
Website
-
Customer Service
-
Overall
-
 
 
 
Please allocate 100 points on how you spend your income:
Essentials (Gas, Grocery etc.)
Entertainment (Movies, Clubs etc.)
Other
0
 
 
 
What is your date of birth?
MesDíaAño
  
 
 
How satisfied are you with the following:
* Website
-
* Customer Service
-
* Overall
-
 
 
How satisfied are you with the following:
Website
-
Customer Service
-
Overall
-
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Website
-
* Customer Service
-
* Overall
-
 
 
 
What is your date of birth?
MesDíaAñoHorasMinutosa.m. / p.m.