You can always press Enter⏎ to continue
Welcome! We appreciate your time and feedback!
This will take less than 60 seconds.
START
1
Location
Previous
Next
Submit
Press
Enter
2
PRODUCT VALUE
*
This field is required.
Slide a face from neutral to happy (right) or sad (left).
Product Value
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Product Value
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Previous
Next
Submit
Press
Enter
3
SERVICE
*
This field is required.
Sad to the left. Happy to the right.
Service
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Service
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Previous
Next
Submit
Press
Enter
4
TIMELINESS
*
This field is required.
Sad to the left. Happy to the right.
Timeliness
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Timeliness
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Previous
Next
Submit
Press
Enter
5
OVERALL EXPERIENCE with Food Concepts, Inc.
*
This field is required.
Sad to the left. Happy to the right.
Overall Satisfaction
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Overall Satisfaction
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Previous
Next
Submit
Press
Enter
6
Would you order from us again?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
7
Thanks for the feedback! What stood out or where can we do better?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
8
Your Company | Your Name
*
This field is required.
This helps us be productive with your feedback
Your Company
Your Name (optional)
Previous
Next
Submit
Press
Enter
9
Your email
If you'd like us to follow up (optional). We will not sell or misuse this information.
example@example.com
Previous
Next
Submit
Press
Enter
10
Order Number or PO Number
Enter your order number info if you'd like us to look into this and follow up with you.
Order Number
Previous
Next
Submit
Press
Enter
11
Phone Number
If you'd like us to follow up (optional). We will not sell or misuse this information.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
12
Care to send a pic?
We love seeing our product in action or if applicable we like to understand what went wrong.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
12
See All
Go Back
Submit
