Product Purchase Survey Form
Customer Name
*
Email
*
Phone
-
-
How did you make your purchase?
*
Select
In Store
Website
How did you shop?
*
Select
Researched website, then purchased in store
Found in store then purchased on website
Went directly to store and purchased
Went directly website and purchased
Were you able to find your product, in-store or on our website, on your first visit?
*
Yes
No
Did you compare pricing with other retailers?
*
Yes
No
Why did you decide to purchase your product from us?
*
Select
Price
Quantity available
Speed of delivery
Store was nearby
Able to purchase on website, then pick up in store
Ease of returns
Is this product consistantly in stock in our store and on our website?
*
Yes
No
This is my first time purchasing it here
Based on your shopping experience, will you purchase this product from us in the future?
*
Yes
No
Unsure
Product Information
Product Name
Size
SKU or Model #
Price
Feedback