Satisfaction Survey

US Purchases only please.

1. Product purchased?

2. Date purchased?

3. Store where purchased?

4. Why did you purchase this product?

5. Did product perform as expected?

6. Why or why not?

7. Do you intend to buy the product again?

8. Why or why not?

Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

Country:

Phone:

E-mail: