Penny for a Thought!
Required Required Question(s)
1.
How satisfied are you with our website?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Required 2.
How did you learn of our website? Select all that apply.
Surfing the web
Magazine Article
Friend/colleague
Seen your logo somewhere
I'm your customer!
Other 
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Required 3.
On your last visit, what was your primary reason for visiting our website?
Seeking Guides & Articles
Product Information
Seeking contact information
Product purchase
Your Newsletter
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Required 4.
How often do you visit our website?
Daily
Weekly
Monthly
Hard to say
It was my first visit
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Required 5.
Which of the following are true? Select all that apply.
You were able to find exactly what you were looking for
You were able to find a part of what you were looking for
You were able to find something better than what you were looking for
You were not able to find what you were looking for
You had no specific agenda in mind when you visited
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Required 6.
Please rate the following attributes of our website.
 Well Below Average Below Average Average Above Average Well Above Average 
Ease of navigation
Freshness of content
Accuracy of information
Quality of content
Layout/design
Customer support
Meeting your needs
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Required 7.
How likely are you to visit our website again?
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Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
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Required 8.
How likely are you to recommend our website to a friend or colleague in the future?
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Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
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Required 9.
On the basis of this website, how comfortable are you shopping with us?
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
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Required 10.
How does our website compare to the websites of companies offering similar products or services?
Well above average
Above average
Average
Below average
Well below average
Don't know
Other 
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11.
Do you have any suggestions for improvement?
 

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Required 12.
What would you like to see more of?
 

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Required 13.
Would you like to receive our Newsletter with information of New Arrivals and Special Offers?
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No
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14.
Please enter your Name and Email address, if you would like to receive our Newsletter
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Last Name:
Email Address:
emailaddress@xyz.com