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Exit Survey
 
 
How many online purchases have you made from our company in the past twelve months?
 
None
 
1 - 2
 
3 - 4
 
5 or more
 
 
 
When was your last online purchase from our company?
 
Within the last month
 
Between 1 and 3 months ago
 
Between 3 and 6 months ago
 
Between 6 months and a year ago
 
More than a year ago
 
Have not made any purchases
 
 
 
During your most recent online purchase, what types of products did you buy? Select all that apply.
 
{PRODUCT 1}
 
{PRODUCT 2}
 
{PRODUCT 3}
 
{PRODUCT 4}
 
{PRODUCT 5}

 
 
How important are each of the following when shopping for {PRODUCT NAME}?
Least Important Most Important
{FACTOR A}
{FACTOR B}
{FACTOR C}
{FACTOR D}
{FACTOR E}
 
 
 
How did you make your last purchase?
 
Online
 
By phone
 
Other
 
 
 
 
Which best explains the reason for your last online purchase?
 
Business use
 
Personal use
 
Bought it as a gift
 
Other
 
 
 
 
How did you arrive at our website?
 
Search engine (Yahoo, Google etc.)
 
Link from another website
 
Referral from friend or acquaintance
 
Online advertisement
 
Print advertisement
 
Other
 
 
 
 
Did you use any of our website customer support features? Select all that apply.
 
Toll-free number
 
Chat
 
Help
 
Frequently Asked Questions (FAQs)
 
E-mail inquiry
 
Other
 

 
 
 
How likely is it that you will purchase from us again?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you know of any other sites that sell the same products at a better price? If so, what?
   
 
 
 
Please share any additional comments you have about our online shopping experience.