Product Feedback Form
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1. PRODUCT FEEDBACK FORM

The purpose of this product feedback form is to evaluate what you thought of the products you purchased, and to implement ways of improving its quality.
I would like to thank you for taking the time and effort in filling this out. For more information or if you have any concerns please feel free to contact me at adam@empowermenthealing.com or 0407992205.

Light and love,

Adam

1. What type of product did you purchase?

What type of product did you purchase? Crystal goods

Candles and incense

Massage and aromatherapy oils

Pillows, blankets and cushions

Downloadable file

DVDs

CDs

Books

Programs

Rental

Other (please specify)

2. What were you hoping to get out of this product?

What were you hoping to get out of this product? Reduce stress and anxiety

Improve concentration and memory

Improve performance in areas of life (such as work and study)

Increased staminy and vitality. More energy

Develop a more positive outlook on life

Develop a more positive attitude towards others

General health

Learn ways in how to help myself and/or others

Reduce the risk or symptoms of physical illness

All of the above

Not sure

Other (please specify)

3. How would you rate the following?

	very poor		poor		moderate		good		very good	excellent
Presentation	*How would you rate the following? Presentation very poor	Presentation	Presentation poor	Presentation	Presentation moderate	Presentation	Presentation good	Presentation	Presentation very good	Presentation excellent
Packaging and delivery	Packaging and delivery very poor	Packaging and delivery	Packaging and delivery poor	Packaging and delivery	Packaging and delivery moderate	Packaging and delivery	Packaging and delivery good	Packaging and delivery	Packaging and delivery very good	Packaging and delivery excellent
Quality	Quality very poor	Quality	Quality poor	Quality	Quality moderate	Quality	Quality good	Quality	Quality very good	Quality excellent
Cost	Cost very poor	Cost	Cost poor	Cost	Cost moderate	Cost	Cost good	Cost	Cost very good	Cost excellent
Customer	Customer very poor	Customer	Customer poor	Customer	Customer moderate	Customer	Customer good	Customer	Customer very good	Customer excellent
Service	Service very poor	Service	Service poor	Service	Service moderate	Service	Service good	Service	Service very good	Service excellent
Overall performance	Overall performance very poor	Overall performance	Overall performance poor	Overall performance	Overall performance moderate	Overall performance	Overall performance good	Overall performance	Overall performance very good	Overall performance excellent

4. Where was the product purchased?

Where was the product purchased? Online auction store

In person

Main website

Social event

Office location

Not sure

Other

Other (please specify)

5. Where was the product being delivered?

Where was the product being delivered? Academic institute

Work site

Private home

Community Centre

Public librarie

Expo

Gym

Esoteric store

Health food store

Market/fair

Social group

Online

Place of spiritual significance

Nature

All of the above

Other (please specify)

6. What did you enjoy about the product? How could these things be enhanced in the future?

What did you enjoy about the product? How could these things be enhanced in the future?

7. What did you not enjoy about the product? How could these things be improved in the future?

What did you not enjoy about the product? How could these things be improved in the future?

8. Anything else that should be added to this feedback form? Any comments or suggestions in how this survey could be improved?

Anything else that should be added to this feedback form? Any comments or suggestions in how this survey could be improved?

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Product Feedback FormExit this survey >>

1. PRODUCT FEEDBACK FORM

1. What type of product did you purchase?

2. What were you hoping to get out of this product?

3. How would you rate the following?

4. Where was the product purchased?

5. Where was the product being delivered?

6. What did you enjoy about the product? How could these things be enhanced in the future?

7. What did you not enjoy about the product? How could these things be improved in the future?

8. Anything else that should be added to this feedback form? Any comments or suggestions in how this survey could be improved?

Product Feedback Form
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