Repurchase Intention Questionnaire Form
Please complete this form to help us understand your intentions and preferences regarding future purchases. Your feedback will help us serve you better.
How likely are you to purchase from us again?
*
Not at all likely
1
2
3
4
5
6
Extremely likely
7
1 is Not at all likely, 7 is Extremely likely
Which product or service are you most likely to repurchase?
*
Please Select
Product A
Product B
Product C
Not planning to repurchase
Other
What is the main reason for your decision to repurchase or not?
*
How satisfied were you with your previous purchase?
*
1
2
3
4
5
Which of the following factors most influence your decision to buy again? (Select all that apply)
*
Product quality
Price
Customer service
Brand reputation
Previous experience
Other
How did you first hear about us?
Referral
Social media
Online search
Advertisement
Other
How likely are you to recommend us to others?
*
Not at all likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all likely, 10 is Extremely likely
What could we do to increase your likelihood of repurchasing?
What is your preferred method for future purchases?
Online store
In-person/retail
Phone order
Other
Please share any additional comments or suggestions.
Submit
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