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* 1. Contact Information:

* 2. Product Name:

* 3. Product Model #:

* 4. Where did you purchase the product?

* 5. Date Purchased:

* 6. Please read the following statements and indicate if you agree or disagree with the statement. If the statement does not apply, simply check the N/A box. For any statement you disagree with, we welcome suggestions for improvement. 

  Agree Disagree N/A
Packaging was sufficient to protect the product during shipping
Product instructions were clear and complete
Product is and works as expected based on information provided prior to purchase
Product is of good quality
Brand was important in the decision to purchase this product type
Customer Service is easily accessible

* 7. How likely is it that you would recommend this company to a friend or colleague?


* 8. Would you like to leave a product review for our website,