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Website Survey Questionnaire Form
Get feedback from your consumers or customer about your e-commerce website and services. With this form template, customers can quickly give you a feedback, evaluation and other suggestion about your services.
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1
Email
example@example.com
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2
No Silicones
No Sulfates
No Parabens
No Harsh Chemicals
No Harmful Fragrances
Gluten Free
100% Vegan
Leaping Bunny Certified
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3
Name
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4
INSTAGRAM
@jackiieestradaa
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5
What Country are you located? (We are only available in the countries below)
USA
CANADA
UK
IRELAND
POLAND
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6
IS YOUR HAIR
THICK
THIN
IN BETWEEN
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7
IS YOUR HAIR
STRAIGHT
WAVY
CURLY
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8
IS YOUR HAIR COLOR TREATED
Yes
No
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9
IS YOUR SCALP
DRY/FLAKY
NORMAL
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10
DO YOU HAVE OILY ROOTS
YES
NO
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11
IS YOUR HAIR TEXTURE
FRIZZY
LIMP
DRY
COARSE
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12
SPLIT ENDS
YES
NO
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13
HOW OFTEN DO YOU WASH YOUR HAIR?
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14
BRAND OF SHAMPOO YOU ARE USING?
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15
ANYTHING YOU WANT MORE OF IN YOUR HAIR?
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ANYTHING YOU WANT LESS OF IN YOUR HAIR?
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17
WHAT DO YOU USE TO STYLE YOUR HAIR
HEATING TOOL
AIR DRY
MOUSE
HAIRSPRAY
Other
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18
TWO WAYS TO BUY: VIP OR RETAIL
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19
VIP
ONE
TIME $19.99 MEMBERSHIP FEE
15% DISCOUNT
FREE SHIPPING ON ORDER OF $84 OR MORE
FREE ONLY FOR YOU PRODUCT IN EVERY FLEXSHIP
ACCESS TO FLASH SALE
BIRTHDAY COUPON
$20 WHEN YOU REFER A NEW VIP
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20
RETAIL PRICE
AWESOME PRODUCTS
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21
ARE YOU INTERESTED
RETAIL
VIP
CONTACT ME
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22
ARE YOU INTERESTED IN SKIN CARE
YES
NO
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