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Customer Feedback Form
Please fill out this form with as much information as possible, the more information you can supply the more accurately we can serve you better.
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Name
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Address
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Pincode
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Date of Birth
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Anniversary Date
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YYYY
email-id
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Which Dal you prefer most?
Rantio
Punit
Angur
Laxmidals
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How often you buy products online?
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Moderately Often
Slightly Often
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How was your experience with Laxmidals?
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Excellent
Good
Adequate
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Overall Service
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9-10 (Excellent)
7-8 (Good)
4-6 (Average)
1-3 (Poor)
How did you come to know about Laxmidals?
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Newspaper
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Submit a Review / Testimonial
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If you have any suggestions regarding how we could improve the services we provide to you, please enter them in the box below.
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Any tasks left from our end?
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Are you a Laxmidals user?
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