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Questionnaire Demo for Co-browsing
Survey Demo
Name
Q1A First Name
*
Q1B Last Name
*
Purchase
Q2 Date of last shoe purchase
Q3 Which Brand did you purchase?
Adidas
Asics
Bata
New Balance
Nike
Puma
Rebok
Skechers
Perception
Q4 Rate your purchase experience
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
Q5 How satisfied are you with the shoe?
1
2
3
4
5
6
7
8
9
10
Online purchase
Q6 Did you purchase online?
Q6A How many days it took to deliver?
1
Days
1
Days
30
Days
Q7 Which of these shoe brands you have heard of?
Adidas
Asics
Bata
New Balance
Nike
Puma
Rebok
Skechers
Q7A Which of these shoe brands you ever purchased?
Q7B Which of these shoe brands you liked most?
Record your last shoes
You may add more brands by clicking the + button
Brand
Adidas
Asics
Bata
Nike
Puma
Rebok
Skechers
New Balance
Years used
1 year or less
1 to 2 years
2 to 3 years
3 years or more
Rate your satisfaction
1 Star
2 Stars
3 Stars
4 Stars
5 Stars
Prove that you are a human-being
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