Customer Feedback Form
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Initial Step
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Step 1
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Step 2
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Step 3
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Step 4
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Step 5
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Step 6
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Final Step
Branch
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Sales Person
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How would you rate your overall interaction with our staff?
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Excellent
Good
Average
Poor
Very Poor
Did our staff meet your expectations in terms of knowledge and friendliness?
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Exceeded Expectations
Below Expectations
Did Not Meet Expectations
Not Applicable
Did you encounter any issues during the purchasing process?
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Yes
No
How satisfied are you with the payment options available?
*
Very Satisfied
Satisfied
UnSatisfied
Very Satisfied
How would you rate the cleanliness and organization of our store?
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Excellent
Good
Poor
Very Poor
Was it easy to find what you were looking for in our store?
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Very Easy
Easy
Difficult
Very Difficult
Does our product/service meet your needs and expectations?
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Exceeds Needs and Expectations
Exceeds Needs and Expectations
Partially Meets Needs and Expectations
Does Not Meet Needs and Expectations
How would you rate the value for money of our product/service?
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Excellent Value
Good Value
Fair Value
Poor Value
How likely are you to recommend our product/service to others?
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Very Likely
Likely
Neutral
Unlikely
Very Unlikely
How likely are you to purchase from us again?
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Very Likely
Likely
Neutral
Unikely
Very Unlikely
This is nice
*
Full Name
*
Phone Number
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Email Address
*
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