Personal Information

Name:
Email:
Phone Number(optional)

Question One

Have you ever purchased flooring products or services from our business?
Yes No

Question Two

How did you hear about our business?
Online search Friend or family member referral Advertisement Walked by the store/signage Other (please specify)

Question Three

What type of flooring products have you purchased from our business in the past?
Hardwood flooring
Tile flooring
Carpeting
Vinyl flooring
Other (please specify)

Question Four

On a scale of 1-5, how satisfied were you with the quality of our flooring products?
1 (Not at all satisfied)
2
3
4
5

Any Additional Comments:

s