Customer Survey

Thank you for being an integral part of our journey. Your feedback matters! Answering this short survey will help us shape the future of MagicDichol® and iWantMyHealthBack.com

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Name *

Email *

Your Experience *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Overall, how would you rate your experience with us?

How easy is it to navigate our website? *

1 - Not easy at all	2 - Not so easy	3 - Somewhat easy	4 - Very easy	5 - Extremely easy
1 - Not easy at allCompany Overall 1 - Not easy at all	2 - Not so easyCompany Overall 2 - Not so easy	3 - Somewhat easyCompany Overall 3 - Somewhat easy	4 - Very easyCompany Overall 4 - Very easy	5 - Extremely easyCompany Overall 5 - Extremely easy

How visually appealing is our website? *

1 - Not appealing at all	2 - Not so appealing	3 - Somewhat appealing	4 - Very appealing	5 - Extremely appealing
1 - Not appealing at allCompany Overall 1 - Not appealing at all	2 - Not so appealingCompany Overall 2 - Not so appealing	3 - Somewhat appealingCompany Overall 3 - Somewhat appealing	4 - Very appealingCompany Overall 4 - Very appealing	5 - Extremely appealingCompany Overall 5 - Extremely appealing

How would you rate your experience with the shipment and quality of your product(s)? *

1 - Not satisfied at all	2 - Not so satisfied	3 - Somewhat satisfied	4 - Very satisfied	5 - Extremely satisfied
1 - Not satisfied at allCompany Overall 1 - Not satisfied at all	2 - Not so satisfiedCompany Overall 2 - Not so satisfied	3 - Somewhat satisfiedCompany Overall 3 - Somewhat satisfied	4 - Very satisfiedCompany Overall 4 - Very satisfied	5 - Extremely satisfiedCompany Overall 5 - Extremely satisfied

How likely is it that you will recommend us to a friend or colleague? *

1 - Not likely at all	2 - Not so likely	3 - Somewhat likely	4 - Very likely	5 - Extremely likely
1 - Not likely at allCompany Overall 1 - Not likely at all	2 - Not so likelyCompany Overall 2 - Not so likely	3 - Somewhat likelyCompany Overall 3 - Somewhat likely	4 - Very likelyCompany Overall 4 - Very likely	5 - Extremely likelyCompany Overall 5 - Extremely likely

How did you learn about us? *Healthcare PractitionerSearch Engine (e.g., Google, Bing)Social Media (e.g., Facebook, Instagram, YouTube, LinkedIn)Affiliate, Podcast or RadioReferral (e.g., Friend/Family, Word of Mouth)Advertisement (e.g., Banner Ad, Sponsored Content)Email NewsletterBlog PostOther WebsitePrint Advertisement (e.g., Magazine, Newspaper)Event (e.g., Trade Show, Conference)Other

Name of person or show (if known) *

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Do you have any comments about how we could improve? *

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