Customer Survey

First name

Last name

Email Address

Phone Number

What age group are you in?

Have you shopped with us before?

If so, please rate your overall experience with us.

How did you hear about us?

What other medium did you hear about us through?

What means of advertisements do you prefer?

Do you listen to the radio?

What radio station do you primarily listen to?

What other radio stations do you listen to?

Do you receive the local newspaper?

Designer Furniture Gallery Customer Feedback Survey