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Cutomer Feedback Survey
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Survey Questions:
What do you like most about Kreem Shakti?
*
Where do you think we can improve Kreem Shakti?
*
Please share any improvements or changes you would like to see.
*
How easy is it to navigate the Kreem Shakti website?
*
Very Easy
Easy
Average
Difficult
Very Difficult
Have you encountered any issues when visiting the website?
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Yes
No
Please specify the issues you've experienced.
*
Please be as specific as possible to ensure we can solve the issue.
Do you find the topics in our blog interesting and relevant to your life?
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Extremely
Sometimes
Not At All
What blog topics would be more interesting and relevant to you?
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Are there any other services you would like to see us offer?
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Yes
No
Please specify the services you would like to see us offer.
*
How often do you drink tea?
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Constantly
Often
Sometimes
Seldom
Never
How often do you use ayurvedic ingredients when you cook?
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Constantly
Often
Sometimes
Seldom
Never
How did you hear about Kreem Shakti?
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In-person event/tradeshow
Referred by friend/family
Search Engine
Social Media
Word of Mouth
Other
Please describe how you heard about Kreem Shakti.
*
If you have any additional feedback, please include it here.
Product Sample
As a thank you for filling out this survey, we would love to send you a free product sample! Please fill in your mailing information and answer these questions so we can choose the right product for you!
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is your predominant dosha?
*
Pitta
Vata
Kapha
Click
HERE
to take our 20-question Dosha quiz and get your results!
What type of skin do you have?
*
Dry
Sensitive
Oily
Combination
Please list any allergies you have.
*
We will make sure your sample products do NOT contain any of these ingredients.
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