You are on page 1of 2

At which Apple Store did you make this purchase?

Country:_____________________
State/Province/County:_______________________
Store Name:____________________

Please select the items that you purchased on this visit. (Select all that apply.)
iPod ____________________________________________
iPhone __________________________________________
Macintosh __________________________________________
Other products _______________________________________

Overall, how satisfied were you with your most recent experience at the Apple Store?
Not at all satisfied neutral extremely satisfied

Overall, how satisfied were you with your Apple product(s)?


________________________________________________________________________________________________
________________________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Rated:___________________
Was this purchase primarily for business use? Yes No

Do you plan to run Windows on your new Apple Mac? Yes No Maybe

Please provide your contact information

First name :__________________________________


Last name :__________________________________
Phone number: ______________________________
Best time to call: ____:_______a.m/p.m
Email address :_______________________________

What is your gender? Male Female Prefer not to answer

Age:______________________

Thanks for sharing your thoughts on the Apple Store.


We are committed to providing the best possible customer experience,
and your input is important to us.
The apple team

Apple has contracted Medallia, an independent marketing research firm, to conduct this survey. Your responses will remain strictly confidential.

You might also like