1. How did you hear about us?

How did you hear about us? Book

Google

Yahoo

Friend

Health care Professional

Other (please specify)

2. What made you choose Dr Clark Store?

What made you choose Dr Clark Store? Products in conformity with Dr Clark protocols

Preventive care

Health Problem(s)

Serious Health Problem(s)

Other (please specify)

3. How would you rate the range and price of our products?

How would you rate the range and price of our products? Excellent

Very Good

Good

Fair

Poor

4. How would you rate our customer service?

How would you rate our customer service? Excellent

Very Good

Good

Fair

Poor

5. How would you rate the overall website appearance & ease of use?

How would you rate the overall website appearance & ease of use? Excellent

Very Good

Good

Fair

Poor

6. Were you satisfied with the ease of navigating and ordering products? If NOT, please tell us how we can improve...

Were you satisfied with the ease of navigating and ordering products? If NOT, please tell us how we can improve... Yes

7. Did you find our prices competitive?
If NOT please indicate what product(s) where not priced competitive

Did you find our prices competitive? If NOT please indicate what product(s) where not priced competitive Yes

8. Please tell us your story!
We would appreciate your testimonial about how the products worked out for you. Occasionally we like to contact people regarding their story.

Please tell us your story!
We would appreciate your testimonial about how the products worked out for you. Occasionally we like to contact people regarding their story.

9. Please leave us your email after telling us your story. Your email address will not be shared and we will not send you advertisements.

Please leave us your email after telling us your story. Your email address will not be shared and we will not send you advertisements. Name:
E-mail:
Place you reside:

10. What other features or products would you like to see on DrClarkStore.com?

What other features or products would you like to see on DrClarkStore.com?

11. What is your Gender?

What is your Gender? Male

Female

12. Please indicate your age category

	0-25	26-40	41-50	51-60	61-70	71+
Age	Please indicate your age category Age 0-25	26-40	41-50	51-60	61-70	71+

13. Finally, what is your race?

Finally, what is your race? Black

White

Asian

Latino

Other (please specify)

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1. How did you hear about us?

2. What made you choose Dr Clark Store?

3. How would you rate the range and price of our products?

4. How would you rate our customer service?

5. How would you rate the overall website appearance & ease of use?

6. Were you satisfied with the ease of navigating and ordering products? If NOT, please tell us how we can improve...

7. Did you find our prices competitive?If NOT please indicate what product(s) where not priced competitive

8. Please tell us your story! We would appreciate your testimonial about how the products worked out for you. Occasionally we like to contact people regarding their story.

9. Please leave us your email after telling us your story. Your email address will not be shared and we will not send you advertisements.

10. What other features or products would you like to see on DrClarkStore.com?

11. What is your Gender?

12. Please indicate your age category

13. Finally, what is your race?

7. Did you find our prices competitive?
If NOT please indicate what product(s) where not priced competitive

8. Please tell us your story!
We would appreciate your testimonial about how the products worked out for you. Occasionally we like to contact people regarding their story.