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Customer Survey Form
Customer Survey Form
A form to collect user feedback and ratings.
Preview
Code
Name (Optional)
Email (Optional)
How satisfied are you with our service?
*
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Which product or service did you use?
*
Product A
Product B
Service X
Service Y
Other
Which features did you use? (Select all that apply)
Feature 1
Feature 2
Feature 3
Feature 4
Feature 5
How likely are you to recommend us to others?
*
Definitely would
Probably would
Not sure
Probably would not
Definitely would not
What could we do to improve your experience?
I am willing to be contacted about my feedback
Submit