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Customer Service Survey
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11
Questions
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1
Please tell us who you are
A Consumer
A Distributor
A Pharmacist
Anonymous
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2
What gender do you align with?
Man
Woman
Non Binary
Prefer not to answer
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3
How long have you been using or buying our products?
Less than 12 months
1 - 2 Years
More than 2 years
First time user
I'm not buying/using your product
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4
Which of these XS Health products are you using / have you used?
You can select multiple fields
Slimz / SlimCut
Vita-G
Noolit
JOLiVER
Climux
VitaleMen
VitaleFemme
ProBio
Relevoderm
Zaflumed
Sinoxit
Viralmed
Herbal Draught
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5
Which statement best describes the price you paid for the product/s
Expensive
Fairly Priced
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6
How likely is it that you would recommend this/these product/s to a friend or colleague?
1
2
3
4
5
Very unlikely
Very likely
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7
How would you rate the quality of of our service?
Please Select
Very High Quality
High Quality
It's OK
Low Quality
Very Low Quality
Please Select
Please Select
Very High Quality
High Quality
It's OK
Low Quality
Very Low Quality
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8
How satisfied are you with the product/s Safety and Efficacy?
1
2
3
4
5
Extremely Dissatisfied
Extremely Satisfied
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9
Please help us understand why you are not happy with the quality, safety and/or efficacy of our product/s
Odour
Taste
Colour
Side Effects / Adverse reactions
Poor labelling / packaging
Manufacturing Quality
Other
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10
Please tell us about your experience?
Please add the name, batch number and expiry date of the product/s you are referring to.
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11
Would you like someone from XS Health to contact you?
YES
NO
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