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Website Survey Questionnaire Form
Get feedback from your consumers or customer about your e-commerce website and services. With this form template, customers can quickly give you a feedback, evaluation and other suggestion about your services.
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1
Name
*
This field is required.
First Name
Last
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2
Email
*
This field is required.
example@example.com
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3
Have you received your Y.E.M email?
*
This field is required.
Yes
No
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4
Do you understand the program?
*
This field is required.
Yes
No
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5
Did you book during Early Release Days?
*
This field is required.
Yes
No
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6
If so, please put your appointment date below. If not, why?
*
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7
Did you know, as a member when you book ER Days appointments for VIP hours are waived.
*
This field is required.
Yes
No
I need more info
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8
Which would you prefer
*
This field is required.
Early Release Days and Y.E.M never pay deposits
No Early Release Day, Open the book! Y.E.M Never pay deposits
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9
Which would you prefer?
*
This field is required.
Early Release on Last 2 days of month (Ex. 29th and 30th for the month coming) ✨Membership Fees due on 25th of the month.
Early Release stays on the 13th of the month (Ex. 5/13-5/15 is early release days for June) ✨Membership Fees due on 10th of the month
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10
Did you know, as a member your needed trims are FREE?
*
This field is required.
Yes
No
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11
Did you know, as a member you receive 10% off for each successful referral? (2 referrals = 2 discounted appointments)
*
This field is required.
Yes
No
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12
Did you know, children’s services are now bundled to included take-out, shampoo and style with no Price negotiation? However, Y.E.M receive $15 OFF for household children.
*
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Yes
No
I need more info
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13
Did you know, as a member for 6+ months your Birthday hair services are 50% Off?
*
This field is required.
Yes
No
I need more info
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14
How easy is it to navigate my Booking Site?
*
This field is required.
Please Select
Very easy
Somewhat easy
Easy
Somewhat difficult
Very difficult
Please Select
Please Select
Very easy
Somewhat easy
Easy
Somewhat difficult
Very difficult
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15
How often do you visit the shop ?
*
This field is required.
Please Select
Once a week
Once a month
Twice a month
Every two months
Every three months
Longer
Please Select
Please Select
Once a week
Once a month
Twice a month
Every two months
Every three months
Longer
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16
How do you pay your service?
*
This field is required.
PayPal Credit/Debit
PayPal
CashApp
Cash
Other
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17
What personalized Y.E.M Referral Accessory would you prefer?
*
This field is required.
Keychain bundle
Personalized business card with QR code
Personalized flyers with QR code
Personalized business T-Shirt
Personalized business Reusable Bag
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18
Please rank what you look for in order of importance when selecting me as your Primary Hair Stylist.
*
This field is required.
1 - Not Important
2
3 - Maybe
4
5 - Very Important
Quality
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Cost
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Hair Health
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Shop comfort
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Familiarity
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Quality
Cost
Hair Health
Shop comfort
Familiarity
1 - Not Important
Row 0, Column 0
2
Row 0, Column 1
3 - Maybe
Row 0, Column 2
4
Row 0, Column 3
5 - Very Important
Row 0, Column 4
1 - Not Important
Row 1, Column 0
2
Row 1, Column 1
3 - Maybe
Row 1, Column 2
4
Row 1, Column 3
5 - Very Important
Row 1, Column 4
1 - Not Important
Row 2, Column 0
2
Row 2, Column 1
3 - Maybe
Row 2, Column 2
4
Row 2, Column 3
5 - Very Important
Row 2, Column 4
1 - Not Important
Row 3, Column 0
2
Row 3, Column 1
3 - Maybe
Row 3, Column 2
4
Row 3, Column 3
5 - Very Important
Row 3, Column 4
1 - Not Important
Row 4, Column 0
2
Row 4, Column 1
3 - Maybe
Row 4, Column 2
4
Row 4, Column 3
5 - Very Important
Row 4, Column 4
1
of 5
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