AZ PAINTED LADIES WEB DESIGN
SURVEY AND FEEDBACK FORM
Please help us make the
William Larkin Moore & Company
website the best it can be for you!
We want to get to know you, their visitors and customers,
so that we might improve their website to meet all your needs.
* * * * *
All information is strictly confidential and will not be used for purposes
other than those specified by AZ Painted Ladies Web Design.
Your information will not be released to any other persons,
organizations, or businesses unless you give written permission to do so.
SURVEY...
First and Last Name:
Street Address:
Mailing Address:
City:
State:
Zip Code:
Phone:
Email Address:
Your Age:
under 16
17-21
22-35
36-49
over 50
FEEDBACK...
Tell us about our website by rating the following areas:
AREA
EXCELLENT
FAIR
POOR
Navigation throughout the website
Visual Appeal
Information About Products/Services
How did you hear about our website?
What would you like to see
included
in this website?
What do you
like most
about this website?
What do you
like least
about this website?
ADDITIONAL COMMENTS AND SUGGESTIONS:
Again, thank you for taking the time to fill out our survey/feedback form.
Your opinions and suggestions are
very
important to us!
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