Ecommerce Platform Purchase Evaluation Form
Please provide your feedback on your recent ecommerce platform purchase to help us improve your experience.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which ecommerce platform did you use for this purchase?
*
Please Select
Amazon
eBay
Shopify
Walmart
Other
Date of Purchase
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What type of product did you purchase?
*
Please Select
Electronics
Clothing & Accessories
Home & Kitchen
Beauty & Health
Sports & Outdoors
Other
How satisfied are you with your purchase experience?
*
1
2
3
4
5
How would you rate the delivery speed?
*
1
2
3
4
5
Did you encounter any issues during your purchase?
*
No issues
Payment problem
Shipping delay
Product not as described
Other
How likely are you to recommend this ecommerce platform to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
Additional comments or suggestions
Submit Evaluation
Should be Empty: