Testimonial and Feedback
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below.

First Name:
Email Address:
emailaddress@xyz.com

2.
How many times have you used our services in the past year?
None
1 - 2
3 - 4
5 or more
3.
When was the last time you did business with us?
Within the last month
Between 1 and 3 months ago
Between 3 and 6 months ago
Between 6 months and a year ago
More than a year ago
Never done business with us
4.
What specific services did you use during your most recent visit with us? Select all that apply.
Drapery Hardware
Custom Drapery
Window Blinds
Upholstery and Accessories
Ready Made Products
Other  
5.
How much time did you spend interacting with a representative?
I did not interact with a representative
Up to 5 minutes
Between 5 to 15 minutes
Between 15 to 30 minutes
Between 30 to 60 minutes
More than 60 minutes
  • Comment:

  • 500 characters left.
Required 6.
How likely is it that you will do business with us again?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
  • Comment:

  • 500 characters left.
7.
Do you have any suggestions for improving our services? If so, what?
 

350 characters left.
Required 8.

Please describe the interaction or experience you had with Rockland Textiles in brief detail. 

 

1000 characters left.
Required 9.

Does Rockland Textiles have your permission to publish your Testimonial in the Question #8 to our website? 

Yes No