Long-form Website Survey Form
Is this your first time visiting our website?
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Yes
No
How did you find our site?
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Select
Internet Search
Social Media
Advertisement
Email from Us
Word of Mouth
When was your last visit to our site?
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Select
Within the last week
1-3 months ago
3-6 months ago
6 months-1 year ago
How often do you vist our site?
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Select
Once per week
Several times per month
Every few months
Once or twice per year
What brought you to our site today?
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Select
Browsing
Purchase
Need to contact customer service
Did you accomplish your purpose for coming to our site?
Yes
No
Overall, how satisfied were you with our website during this visit?
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Select
Very satisfied
Satisfied
Neither satisfied or unsatisfied
Unsatisfied
Very Unsatisfied
Was the site easy to navigate?
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Yes
No
Please share what you liked about the website today.
Please share what you disliked about the website today.
Will you return to this website in the future?
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Yes
No
Would you recommend this site to friends/family?
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Yes
No
Comments/Feedback