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What's Your Impression of Club Artiste?
RequiredRequired Question(s)
Required 1.

Dear Club Artiste Member, Please enter the information indicated below. THANK YOU!!


First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
How long have you been a member?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
  • Comment:

  • 500 characters left.
Required 3.
Which of our products do you buy? Select all that apply.
Wine
Art
Merhcandise
Events
Other  
Required 4.
How frequently do you purchase from us?
Every day
Every week
Every 2 - 3 weeks
Every month
Every 2 - 3 months
Every 4 - 6 months
Once or twice a year
Required 5.
How would you rate your level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
  • Comment:

  • 500 characters left.
Required 6.
How do we rate on the following attributes?
 Well Below Average Below Average Average Above Average Well Above Average 
Customer service
Quality of Wine
Quality of Art
Quality of Merchandise
Quality of Events
Prices
  • Comment:

  • 500 characters left.
Required 7.
How likely are you to continue doing business with us?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
  • Comment:

  • 500 characters left.
Required 8.
How likely is it that you would recommend Artiste to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
Required 9.
Do you have any suggestions for improving Artiste in any way (Wine, Art, Events, Service, etc..)?
 

350 characters left.
Required 10.
What is your gender?
Male
Female
Prefer not to answer
Required 11.
Which category describes your age?
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
Required 12.
What best describes your employment status?
Employed full-time
Employed part-time
Self-employed
Not employed, but looking for work
Not employed, not looking for work
Retired
Student
Military
Homemaker
Prefer not to answer
Other  
Required 13.
Which of the following categories best describes the industry you work in?
Automotive
Advertising
Consulting Services
Education
Entertainment
Financial Services
Government Services
Healthcare
Human Resources
Information Technology
Marketing/Sales
Non-Profit
Pharmaceuticals
Public Relations
Technical Services
Travel
Wine Industry
Other  
Required 14.
Which category best describes your annual income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 or more
Prefer not to answer