Please review your most recent online shopping experience with Solutions Self Chem. We appreciate your honest feedback.

How satisfied are you overall with this purchase experience at Solutions Self Chem?

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	Not at all		A little		Somewhat		Quite a bit		Highly

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How likely are you to recommend Solutions Self Chem?

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	Not at all likely		Unlikely		Perhaps		Likely		Highly likely

Likelihood to recommend	Likelihood to recommend1	2	3	4	5	6	7	8	9	10	n/a	n/a

How likely are you to purchase from Solutions Self Chem the next time you are in the market to buy this type of product?

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	Not at all likely		Unlikely		Perhaps		Likely		Highly likely

Likelihood to buy again	Likelihood to buy again1	2	3	4	5	6	7	8	9	10	n/a	n/a

How many online purchases have you made from Solutions Self Chem in the last six months?

How much did you spend on your last purchase from Solutions Self Chem? (Including shipping, handling and taxes)

Did you receive your order on-time?

How frequently do you purchase in-store (if applicable) from Solutions Self Chem?

Email Address:

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