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Panteen …pro-v

Please take a few moments to complete this satisfaction survey.

 How long have you used our product?


o Less than a month
o 1-6 months
o 1-3 years
o Over 3 Years
o Never Used

 How often do you use product?


o Regular
o After one day
o twice in a weak
o Less than a weak

 Overall, how satisfied were you with the product?


o Very Satisfied
o Satisfied
o Neutral
o Unsatisfied
o Very unsatisfied

 What aspect of the product were you most satisfied by?


o Quality
o Price
o Purchase Experience
o Usage Experience

 What do you like about the product?


____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

 What do you dislike about the product?


____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

 Thinking of other products offered by other companies, how


would you compare the product offered by our company?
o Much better
o Somewhat Better
o About the same
o Somewhat Worse
o Much Worse
o Don’t Know

 Would you use our product in the future?


o Definitely
o Probably
o Not Sure
o Probably Not
o Definitely Not

 Would you recommend our product to colleagues or contacts


within your industries?
o Definitely
o Probably
o Not Sure
o Probably Not
o Definitely Not
Safeguard
Gender: _____ Age: _____

Occupation: _____________________ Contact#


_____________________

Home Town: ____________________ Email:


_______________________

Work Place: ____________________ Salary: _______________

Family Members:
Gende Work Occupati
S# Relation Age Salary
r Place on
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2
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5
more than 5 use one more form.

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