Product Experience Survey.

Please provide your contact information. (All fields are optional) Name   Telephone Number   E-mail Address   How familiar are you with [the Product]? Use it regularly Have used it once Have heard of it, but never used Never heard of it Other   Where do you primarily use the [Product/Service]? At home At the office Other   Are you familiar with these related Products? Please check all that apply. Product 1 Product 2 Product 3 Which related Products are you using? Product 1 Product 2 Product 3 Product 4 What are the major factors that may influence your buying decision? Factor 1 Factor 2 Factor 3 How did you first hear about [the Product]? TV Newspaper Internet Radio Friend/relative Never heard of it Other   Have you ever considered buying [the Product] before? Yes No Other   Please rate the value of [Product/Service] against the cost. Excellent Very Good Good Fair Poor Please select the [ Product]'s most important feature. Feature 1 Feature 2 Feature 3 Comments How would you rate your overall experience using [the Product]? Excellent Very Good Good Fair Poor Please rate the after-sale support you received from [the Company]. Excellent Very Good Good Fair Poor Please enter any additional comments or ideas you would like to share with us.(optional) Additionally, would you like our Customer Care group to contact you? Yes No

Please be aware that submit button was intentionally removed from this sample survey.