Teeth Whitening Kit Feedback Survey
Please share your experience and feedback to help us improve our teeth whitening kit.
Your Name
First Name
Last Name
Email Address
example@example.com
How satisfied are you with the teeth whitening kit overall?
*
1
2
3
4
5
How easy was it to use the kit?
*
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
Did you notice any results after using the kit?
*
Yes, significant improvement
Some improvement
No noticeable change
Results got worse
How long did it take to see results?
Please Select
Within 1 week
1-2 weeks
2-4 weeks
More than 4 weeks
Did not see results
Did you experience any side effects?
Tooth sensitivity
Gum irritation
No side effects
Other
Please rate the following aspects of the kit:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Packaging
1
2
3
4
5
Instructions clarity
6
7
8
9
10
Value for money
11
12
13
14
15
Comfort during use
16
17
18
19
20
How likely are you to recommend this kit to a friend or family member?
*
Not likely
1
2
3
4
5
6
7
8
9
Very likely
10
1 is Not likely, 10 is Very likely
What did you like most about the kit?
What improvements would you suggest?
Your age group
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Gender
Female
Male
Prefer not to say
Other
Submit Feedback
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