Customer Satisfaction Survey

Customer Satisfaction Survey

We thank you for your purchase. We encourage you to take a moment to complete our survey so we can continue to serve you better.

Please rate your online shopping experience at [Company Name]:

	Extremely Dissatisfied	Somewhat Dissatisfied	Neutral	Somewhat Satisfied	Extremely Satisfied
Products easily found
Products clearly described
Shopping cart ease-of-use
Products competitively priced
Speed to load web pages

2.	What describes your shopping experience? (check all that apply)
		Completed order on my first attempt with no problem
		Had to re-start because I didn't have all my billing information
		Had to re-start because the instructions were not clear
		Had to re-start because of technical problems
		Other (Please explain in #6 below)

Please rate your overall satisfaction with our products and services:

Extremely Dissatisfied

Somewhat Dissatisfied

Neutral

Somewhat Satisfied

Extremely Satisfied

5.	Do you plan to purchase from us again?
		Yes
		No
		Undecided

6.	In your opinion, what aspects of our products or services would you suggest be changed or improved?


First Name:
Last Name:
Email:
Confirm Email:
Phone:

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