Your email

How long have you used our product / service?

 Less than a month
 1-6 months
 1-3 years
 Over 3 Years
 Never used
 Less than a week

How often do you use product / service?

 Once a week
 2 to 3 times a month
 Once a month
 Less than once a month
 Each day

Overall, how satisfied were you with the product / service?

 Very Satisfied
 Satisfied
 Neutral
 Unsatisfied
 Very Unsatisfied
 N/A

What aspect of the product / service were you most satisfied by?

 Quality
 Price
 Purchase Experience
 Installation or First Use Experience
 Usage Experience
 Customer Service
 Repeat Purchase Experience

What aspect of the product / service were you most disappointed by?

 Quality
 Price
 Purchase Experience
 Installation or First Use Experience
 Usage Experience
 Customer Service
 Repeat Purchase Experience

What do you like about the product / service? *

What do you dislike about the product / service? *

Thinking of similar products / services offered by other companies, how would you compare the product / service offered by our company?

 Much Better
 Somewhat Better
 About the Same
 Somewhat Worse
 Much Worse
 Don

Would you use our product / service in the future?

 Definitely
 Probably
 Not Sure
 Probably Not
 Definitely Not

Would you recommend our product / service to colleagues or contacts within your industry?

 Definitely
 Probably
 Not Sure
 Probably Not
 Definitely Not