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Lucky Wines Questionnaire

Do you want extra discount, exclusive only to those who visit the web site?.....

I thought you might say yes! Well all you have to do is fill in this sample questionnaire and you'll be recorded onto our list of customers eligible for discount. All you have to do then is simply visit the store and with a proof of ID and address we will be delighted to give you the discount. We believe that it is important we know what our customers want, how they want it, when the want it and normally, most importantly, how much they want it for? This is why our team has compiled a useful questionnaire which may give us a few clues into exactly what we should be doing to do our job as best we can.

The questionnaire is split into two parts, you need only answer those parts which apply:


 

Personal Details:
 
 
First name
Last name
Title
Street address
Address (cont.)
City
Postal code
Country
Work Phone
Home Phone
E-mail

Part I : About our web site [compulsory]

1. How would you rate you web site out of 5? [1;poor, 5;excellent]

1 2 3 4 5

2. How many hours roughly do you spend on the Internet in a week?

0-2 2-5 5-10 10 and above

3. How do you use our web site? tick all that apply:

4. Of the following competitors which web sites have you previously visited? tick all that apply:

5. Would you be interested in a internet shopping service being made available for our business?

Yes No

6. Suggestions box: We like to think our customers can decide a lot about how we run our business, so we have provided a box below where you can express any suggestions you may have about this web site or any other aspect of our business:


Part II : About our shop [only compulsory for those who have visited the shop]

1. How often do you visit the shop?

Once a month 1 visit a week 2 visits a week 3 visits a week 4-6 visits a week Everyday

2. What products do you regularly buy from the shop? tick all that apply:

3. What is your main reason or shopping with us and not our nearest competitors?

4. How would you rate the layout of our shop out of 5? [1;poor, 5;excellent]

1 2 3 4 5

5. Are there any other suggestions you would like to make about the shop?

No Yes

If so, please describe in the box below:


That's it folks!

Now just submit your questionnaire and you will be added to our list of customers eligible for special discount.

 

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