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Hello: You are invited to participate in our survey [Project Description Here]. 
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
What types of credit cards do you have ? 
 
Visa
 
Mastercard
 
American Express

 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
Website
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Customer Service
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Overall
-
 
 
How satisfied are you with the following:
Rarely A little of the time All the time
my husband is affectionate enough
I feel that my husband treats me badly
 
 
 
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Strawberry
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Vanilla
Chocolate
 
 
 
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