Feedback Form

Name:*

Email:*

Telephone:*

1. How long have you been purchasing our products?

Less than 6 months
6 months to less than 1 year
1 year to less than 3 years

2. How often do you use the products?

Never
Daily
2 to 3 days a week
4 to 6 days a week

3. What is the level of comfortability when wearing our products?

Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable

4. How would you rate your overall level of satisfaction with our products?

Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied

5. How likely are you to continue using our products?

Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely

6. Have you ever recommended our products to others?

No, never recommended
Have recommended once or twice
Have recommended several times

7. How do we rate in comparison to other companies that offer the same products?

Much higher
Somewhat higher
Same
Somewhat lower
Much lower
Very low

8. How likely are you to repurchase?

Definitely would
Probably not
Might or might not
Probably would not
Definitely would not

9. When you visited our website, how would you rate the usefulness of the information provided?

Excellent
Very good
Good
Fair
Poor

10. Please indicate your level of satisfaction with the following attributes of our service.

11. Which of the following categories describes your age?

Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older

12. Do you have
any suggestions
or comments for improvement?:*

*Required field