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HOW ARE YOU FEELING TODAY?
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On a scale of 0-10, how positive do you feel at this moment and why?
*
Not at all Likely
Extremely Likely
0
1
2
3
4
5
6
7
8
9
10
How did we disappoint you and what can we do to make things right?
What could we do to improve?
What did you enjoy about your experience?
What do you like most about us?
What would you like to be interested in changing?
Travel to Work
WorkSpace
Break Area
Driving Home from Work
NONE OF THE ABOVE
OTHER
What would you like to see changed?
Would you be willing to provide us a testimonial?
Yes
No
TESTIMONIAL
Please Tell Us About Your Recent Positive Experience
What is your email address? [Optional]
Thank You for sharing your experience, we strive to better each experience with every interaction - Thank you for sharing with us! 🙂
What is your email address? [Optional]
Thank You for sharing your experience. - Thank you for sharing with us! 🙂
What is your email address? [Optional]
We'll use this to get in touch with you, so we can make things right - Thanks for giving us a chance 🙂
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