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VoiceTrack - giving customers a voice

Tell us about your recent experience

At BRAND X we appreciate your business and care about your satisfaction.
You can help us by answering a few questions about your latest experience.
Unless you request to be contacted, your responses will be completely anonymous.
Thank you for helping us serve you better.

2. Overall, how satisfied were you with your most recent experience with BRAND X? *This question is required.

	1	2	3	4	5
Very dissatisfied	1	2	3	4	5	Very satisfied

3. How likely are you to choose BRAND X again? *This question is required.

	1	2	3	4	5
Definitely will NOT	1	2	3	4	5	Definitely Will

4. How likely are you to recommend BRAND X to a friend, family member, or colleague? *This question is required.

	1	2	3	4	5
Definitely will NOT	1	2	3	4	5	Definitely Will

5. Do you agree that Brand X provides good value for your money? *This question is required.

	1	2	3	4	5
Strongly disagree	1	2	3	4	5	Strongly agree

6. How important were each of the following in your choice of Brand X?
(slide the dot to score each one) *This question is required.

Not important at all

Very important

Price

Quality of the products or service

Convenience

Luxury or indulgence

Exploration or trying new things

Sustainability or environmental impact

Children's products or activities

7. What is the Zip Code of your primary residence?

8. Do you have a minute to answer a few more questions? (It's OK if you don't, but we'd really like to know more)

Thinking about your most recent purchase from BRAND X, to what extent do you agree with each of the following?

Space Cell	Strongly disagree	-	-	-	Strongly agree
The employees were friendly	The employees were friendly: Strongly disagree	The employees were friendly: -	The employees were friendly: -	The employees were friendly: -	The employees were friendly: Strongly agree
I found everything I wanted	I found everything I wanted: Strongly disagree	I found everything I wanted: -	I found everything I wanted: -	I found everything I wanted: -	I found everything I wanted: Strongly agree
Checking out was easy	Checking out was easy: Strongly disagree	Checking out was easy: -	Checking out was easy: -	Checking out was easy: -	Checking out was easy: Strongly agree
Employees were available to assist me	Employees were available to assist me: Strongly disagree	Employees were available to assist me: -	Employees were available to assist me: -	Employees were available to assist me: -	Employees were available to assist me: Strongly agree
BRAND X has a good variety of products or services	BRAND X has a good variety of products or services: Strongly disagree	BRAND X has a good variety of products or services: -	BRAND X has a good variety of products or services: -	BRAND X has a good variety of products or services: -	BRAND X has a good variety of products or services: Strongly agree
The employees are knowledgeable	The employees are knowledgeable: Strongly disagree	The employees are knowledgeable: -	The employees are knowledgeable: -	The employees are knowledgeable: -	The employees are knowledgeable: Strongly agree
BRAND X has great customer service	BRAND X has great customer service: Strongly disagree	BRAND X has great customer service: -	BRAND X has great customer service: -	BRAND X has great customer service: -	BRAND X has great customer service: Strongly agree
The BRAND X facility was clean	The BRAND X facility was clean: Strongly disagree	The BRAND X facility was clean: -	The BRAND X facility was clean: -	The BRAND X facility was clean: -	The BRAND X facility was clean: Strongly agree
BRAND X has reasonable prices	BRAND X has reasonable prices: Strongly disagree	BRAND X has reasonable prices: -	BRAND X has reasonable prices: -	BRAND X has reasonable prices: -	BRAND X has reasonable prices: Strongly agree

How likely you are to do each of the following in the next 30 days.

Space Cell	Very unlikely	Unlikely	Neither	Likely	Very likely
Recommend BRAND X to someone	Recommend BRAND X to someone: Very unlikely	Recommend BRAND X to someone: Unlikely	Recommend BRAND X to someone: Neither	Recommend BRAND X to someone: Likely	Recommend BRAND X to someone: Very likely
Make a purchase from BRAND X in-person	Make a purchase from BRAND X in-person: Very unlikely	Make a purchase from BRAND X in-person: Unlikely	Make a purchase from BRAND X in-person: Neither	Make a purchase from BRAND X in-person: Likely	Make a purchase from BRAND X in-person: Very likely
Make a purchase from BRAND X online	Make a purchase from BRAND X online: Very unlikely	Make a purchase from BRAND X online: Unlikely	Make a purchase from BRAND X online: Neither	Make a purchase from BRAND X online: Likely	Make a purchase from BRAND X online: Very likely

9. What could BRAND X do to improve your experience? (list as many as you like)

10. Would you like to be contacted concerning your experience with Brand X?

Please give us your name and contact information below.

Name
Phone
E-mail

11. Would you like to occasionally receive news, updates, and special offers from us? (you can opt out at any time)

Your preferred email address This question requires a valid email address.