CBD Gummies Feedback Form
Share your experience and help us improve our CBD gummies.
How satisfied are you with our CBD gummies overall?
*
1
2
3
4
5
What was your main reason for trying our CBD gummies?
*
Stress relief
Sleep support
Pain management
General wellness
Curiosity
Other
How long have you been using our CBD gummies?
*
Please Select
First time
Less than 1 month
1–3 months
Over 3 months
How often do you consume our CBD gummies?
*
Daily
A few times a week
Once a week
Occasionally
Please rate the following aspects of our CBD gummies:
*
Rows
Taste
Texture
Effectiveness
Packaging
Poor
1
2
3
4
Fair
5
6
7
8
Good
9
10
11
12
Very Good
13
14
15
16
Excellent
17
18
19
20
Have you experienced any side effects?
*
No side effects
Mild side effects
Moderate side effects
Severe side effects
Prefer not to say
If you experienced side effects, please describe them.
How likely are you to recommend our CBD gummies to others? (0 = Not likely, 10 = Extremely likely)
*
Not likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not likely, 10 is Extremely likely
Where did you purchase our CBD gummies?
*
Online store
Retail store
Pharmacy
Other
What improvements or suggestions do you have for our CBD gummies?
Your age group:
*
Please Select
Under 18
18–24
25–34
35–44
45–54
55+
If you would like us to follow up, please provide your email address (optional):
example@example.com
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