Quality Complaint Form Question Title * 1. Personal Details: Name & Surname Area No.: Postal Code Country Email Address Phone Number OK Question Title * 2. Product Details: Product Code: Product Name: Batch No.: OK Question Title * 3. What do you think of the quality of the product? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very dissatisfied OK Question Title * 4. Nature of your complaint: Colour Odour Appearance Product empty Allergy Skin Irritation Other (please specify) OK Question Title * 5. Describe the product defect: OK Question Title * 6. Description of allergy or skin irritation: Redness Swelling Itchiness First time user Used Before Other Allergies ( if yes please specify) OK Question Title * 7. Do you currently use any other Avroy Shlain products? Yes No OK Question Title * 8. How long have you been using the product? 1 day 1 week 1 month Longer than 1 month OK Question Title * 9. Packaging damages: Cap broken Carton is damaged Product not spraying Product leaking Other (please specify) OK Question Title * 10. Describe the packaging defect: OK DONE