E-Commerce Retail Service Satisfaction Survey
Please share your feedback about your recent online shopping experience to help us improve our service.
Full Name
First Name
Last Name
Email Address
example@example.com
How satisfied are you with the following aspects of your recent shopping experience?
*
Rows
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Product Quality
1
2
3
4
5
Product Price
6
7
8
9
10
Website/User Interface
11
12
13
14
15
Checkout Process
16
17
18
19
20
Delivery Speed
21
22
23
24
25
Packaging
26
27
28
29
30
Customer Service
31
32
33
34
35
Overall, how would you rate your shopping experience?
*
1
2
3
4
5
Which of the following best describes your main reason for shopping with us?
*
Product Selection
Price/Discounts
Website Usability
Fast Delivery
Customer Service
Other
Did you encounter any issues during your shopping experience?
*
No issues
Yes, minor issues
Yes, major issues
How likely are you to recommend our online store to others?
*
Not Likely
1
2
3
4
5
6
7
8
9
Very Likely
10
1 is Not Likely, 10 is Very Likely
Which device did you use to shop with us?
Desktop/Laptop
Mobile Phone
Tablet
Other
What could we do to improve your shopping experience?
Would you like to be contacted regarding your feedback?
Yes, please contact me
No, thank you
Submit Feedback
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