Personal Information:

Please provide us with some basic information about yourself.

Name:

Email address:

Demographics:

Understanding our customers' demographics helps us tailor our offerings to your needs.

1. Age

• 18-24

• 25-34

• 35-44

• 45-54

• 55-64

• 65+

2. Gender

• Male

• Female

• Other

3. Location

• Urban

• Suburban

• Rural

Product Usage:

We'd like to know how you currently use our products.

1. Which of our products have you used in the past year? (Check all that apply)

• Product A

• Product B

• Product C

2. How frequently do you use our products?

• Daily

• Weekly

• Monthly

• Rarely

3. What other similar products from competitors have you tried or currently use?

[Open-ended response]

Product Preferences:

Your feedback on our products is essential.

1. What do you like most about our products?

[Open-ended response]

2. What improvements would you suggest for our products?

[Open-ended response]

3. Do you have any specific product features you'd like to see in the future?

[Open-ended response]

Communication:

We want to ensure that you receive information from us in the way you prefer.

1. How do you prefer to hear from us? (Check all that apply)

• Email

• Social Media

• Phone

• Postal Mail

• SMS/Text

2. How often do you prefer to receive updates or promotions from us?

• Daily

• Weekly

• Monthly

• Rarely

• Never

Additional Comments:

Please share any additional comments or suggestions you may have.

[Open-ended response]

Data Usage Consent:

We take your privacy seriously. Please review our Privacy Policy to learn more about how we handle your data.

1. Do you consent to us using your responses for research and product improvement purposes?

• Yes

• No