1. How did you first hear about our web site?
   

   Please Specify:  

2. Have you ever purchased a product from our website?
   

   Yes    No

3. Which of the following categories best describes your last experience purchasing a product on our website? Would you say that your experience was:
   

   Very pleasant
   Somewhat pleasant
   Neither Pleasant nor unpleasant
   Somewhat unpleasant
   Very unpleasant

4. Would you say our web site is:
   

   (7) Very Appealing
   (6)
   (5)
   (4)
   (3)
   (2)
   (1) Very Unappealing

5. Would you say the web site was easy to use?
   

   Yes    No

6. Do you believe you received your shipment in a timely fashion?
   

   Yes    No

7. How satisfied are you with the purchase you made?
   

   (7) Very Satisfied
   (6)
   (5)
   (4)
   (3)
   (2)
   (1) Very Unsatisfied

8. How likely are you to recommend our company to others?
   

   (7) Likely
   (6)
   (5)
   (4)
   (3)
   (2)
   (1) Unlikely

9. Would you like to leave a comment?
   

   (If you would like to be contacted, please use this link to leave your information.)

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