Customer Survey (v2)

1

First things first, can we get a name?* This field is required.

2

How about an email?We'll only contact you if we have some more questions

example@example.com

4

Have you shopped with us before?* This field is required.

YesNo

7

Just a couple more questions, do you have another minute?* This field is required.Don't worry, you can stop now if you'd like

YESNO

8

Are you local or traveling?

I'm localJust passing through

10

What are you most interested in?

Men's Goods

Women's Goods

Both

11

We appreciate your support! Want to add anything else?