Customer survey
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1.
1
. Are you
Are you
Male
Female
2
. Your age
Your age
18-24
25-34
35-49
50-69
70 & over
3
. Are you a
Are you a
Dental professional
Mother with children at home
Retail owner/operator
General consumer
4
. How did you find out about Dr. John's Candies?
How did you find out about Dr. John's Candies?
Friend
News
Online/search
Dental professional
Other (please specify)
5
. Which Dr. John's Candies line of products interest you (choose 1 or more)?
Which Dr. John's Candies line of products interest you (choose 1 or more)?
Simply Xylitol
Herbal Lollipops
Candies with Xylitol
Original Sugar Free Candies
Custom Candies
6
. Did you make an online purchase of Dr. John's Candies products?
Did you make an online purchase of Dr. John's Candies products?
Yes
No
Just shopping and may buy in future
Just shopping and not interested in buying
Unable to purchase online
Why?
7
. Why did you buy Dr. John's products?
Why did you buy Dr. John's products?
I am concerned about my child(ren)'s dental health
I am a diabetic (health concerns)
I wanted to have a healthy treat that prevents cavities
I like all-natural products
They are great tasting!
8
. How much do you typically spend each month on candies/treats?
How much do you typically spend each month on candies/treats?
Less than $20
$20 - $40
$40 - $60
More than $60
9
. Would you recommend Dr. John's Candies' products to your family/friends/or customers?
Would you recommend Dr. John's Candies' products to your family/friends/or customers?
Yes
No
Please explain
10
. What is your e-mail address? (We do not disclose this information to any other websites or companies.)
What is your e-mail address? (We do not disclose this information to any other websites or companies.)
E-Mail Address
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