Customer Experience Feedback Form
Customer Experience Feedback Form
Please take a moment to share your feedback with your recent experience.
Customer Information
Name
Phone number
Feedback
What factors influenced your purchase decision?
Select all that apply:
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Quality of Service
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Price
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Recommendations
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Location
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Promotions/Special Offers
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How would you rate the quality of the product you purchased?
How would you rate the value for money of the product?
How easy was it to make a purchase or place an order?
How satisfied were you with the availability of the products you wanted?
How satisfied are you with the quality of service provided to you?
Were your expectations met?
If no, please share how we can improve
Any additional comments or suggestions?
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Thank you for your feedback!
We appreciate your purchase and look forward to serving you again!
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