Colliflower Experience Survey

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* 1. What was the date of your Colliflower transaction?

Date / Time

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* 3. What is the Sales Order/Invoice # of your transaction? Please skip if not applicable.
Note: This information is located in the upper left hand corner of your receipt; example: D12345

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* 4. Overall, I am very satisfied with my experience with Colliflower.

  Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
I am very satisfied.

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* 5. Most of the time, Colliflower has the parts I need when I need them.

  Strongly Disagree Somwhat Disagree Neutral Somewhat Agree Strongly Agree
Colliflower has the parts I need when I need them.

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* 6. The Colliflower employee who assisted me was able to answer all of my questions and solve any problem I had.

  Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
The Colliflower employee was able to answer all of my questions and solve any problem I had.

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* 7. How likely are you to recommend Colliflower to your industry colleagues?

  Very Unlikely Somewhat Unlikely Neutral Somewhat Likely Very Likely
How likely are you to recommend Colliflower?

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* 8. Where would you like Colliflower to open a new store?

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* 9. Please provide your email address for inclusion in special events and promotions. We look forward to exceeding your expectations!

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* 10. Please add any additional feedback you may have about your Colliflower experience. 

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