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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
Range of products
Ease of ordering
Customer Service
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 appearance of our Website?
How would you rate the overall appearance of our Website?
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
No
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
No
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?
African American/Black
Asian
Caucasian/White
Hispanic/Latino
Other (please specify)
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