Purchase Feedback Template Question Title * 1. Please tell us what you purchased so that we can connect your feedback to your purchased item(s): Question Title * 2. How did you make the purchase? Online In a store Over the phone Someone else made the purchase for me Question Title * 3. Overall, how satisfied or dissatisfied are you with the purchase? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 4. How well does the purchase meet your needs? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 5. How would you rate the quality of the item(s) you purchased? Very high quality High quality Neither high nor low quality Low quality Very low quality Question Title * 6. How would you rate the value of your purchase compared to how much you paid? Excellent Above average Average Below average Poor Question Title * 7. How likely is it that you would recommend your purchased item(s) to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 8. What do you like or dislike about your purchase? Question Title * 9. Do you have any other comments, questions, or concerns about your purchase? Done