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Evaluation

Form

First name Last name Date

How long have you used our product or service?


Less than a month
1-3 months
3-6 months
6 months to 1 year
More than 1 year

Please rate your product/service satisfaction level:

Very Unsatisfied Neutral Satisfied Very Satisfied


Unsatisfied
Overall satisfaction

Purchase experience

Price

Delivery

Operating instructions

Installation or first use


experience

Post-purchase experience

Customer service

Technical support

Quality
Suggestions for improvement

Additional comments

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