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* 1. Are you a new or existing customer?

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* 2. Which location did you visit this time?

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* 3. How often do you visit our store? (If you are a new customer, please specify the frequency you plan to visit us in the future)

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* 4. Which product and/or service did you receive from us this time? Please check only one box below

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* 5. How would you rate the knowledge and friendliness of our staff

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* 6. How would you rate Mott Optical Group's product selection?

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* 7. Which of the following influenced your decision to visit a Mott Optical Group store? (Check all that apply)

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* 8. Was your product delivered on time?

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* 9. How likely is it that you would recommend Mott Optical Group to a friend or family member?

Not at all likely
Extremely likely

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* 10. We would like to exceed your expectations every time you visit our store. Please leave any comments or suggestions down below.

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* 11. Thank you so much for your input! Please leave your contact information down below to enter into our raffle to win a FREE pair of Ray-Ban sunglasses. Good luck! (Winner will be announced monthly)

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