Title Page
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Product Purchase Date:
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Where did you get the product from? (Name of store or supplier)
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Full name (optional)
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Email address (optional)
Feedback Form
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Can you use the product?
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If you are unable to use the product, state why.
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Did the product work as claimed or advertised?
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Did the product meet your expectations?
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Did the product consistently perform well?
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Do you think the product was appropriately priced?
Final Page
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For product-related complaints:
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Thank you for accomplishing this feedback form.