Date

Name

Email

Gender

• Male

• Female

Age Group

• 18-30

• 31-40

• 41-50

• 51-60

• 60+

Employment Status

• Employed Full-Time

• Employed Part-Time

• Self-Employed

• Unemployed

• Retired

What is the most important factor when purchasing a product or service?

• Price

• Quality

• Brand Reputation

• Convenience

• Customer Service

What is your preferred method of communication when engaging with businesses?

• Email

• Phone

• Social Media

How frequently do you shop online?

• Daily

• Weekly

• Monthly

• Rarely

• Never

Which sources do you rely on for product recommendations?

Select all that apply:

• Friends/Family

• Online Reviews

• Social Media

• TV/Radio

• Magazines/Newspapers

How satisfied are you with your recent purchases?

How likely are you to recommend our company’s products/services to others?

Additional Comments

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