ACME Survey

Welcome to our company survey. Please fill all the questions and then press the submit button at the end of the form. Thanks!

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 Personal Info
 1. What is your name? 2. What is your gender? 3. Where do you live?
 
Male  Female 
 Product Info
 4. How often do you uses ACME's products? *
Daily  At least once a week  At least once a month  Never 
 5. Wneh you hear ACME which of the following comes into your mind? Please check all that apply. *
Quality  Price  Consistency  Support 
 6. Overall, how do you rate our products? *
1 - Bad  2  3  4  5 - Excellent 

   

* Responding to fields marked with an asterisk is mandatory
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