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* 1. Which restroom did you use?

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* 2. What is your age?

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* 3. What was your first reaction to the Touchless Toilet Paper Dispenser?

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* 4. How would you rate the quality of the Touchless Toilet Paper Dispenser?

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* 5. How innovative is the Touchless Toilet Paper Dispenser?

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* 6. When you think about our Touchless Toilet Paper Dispenser, do you think of it as something that's needed or not needed in public restrooms?

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* 7. How likely are you to ask a business to install Touchless toilet paper dispensers in their restrooms?

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* 8. How likely is it that you would recommend the Touchless Toilet Paper Dispenser to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 9. In your own words, what do like most and/or what would you like to improve about the Touchless Toilet Paper Dispenser?

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* 10. What is your preferred email address? (Required for entry in prize drawing.)

T