Evermark Product Registration

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Name *

First

Last

Email *

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Date of Purchase *

Where Purchased? City State of Purchase? *

Please indicate where you made your purchase. If you have your receipt in front of you and see the store number on the receipt, please include that information.

Amount Spent on Evermark Product(s) *

Products Purchased *

Please list the products you purchased in detail, to the best of your ability. Please include quantity, finish, color, etc. where applicable. Including the SKU number(s) where possible allows us to provide you with the best assistance now and in the future, should it become necessary.

How easy was it to find what you were looking for when you made your purchase?

Selected Value: 0

Please move the slider to the desired value with 10 being "very easy" and zero being "not easy at all."

Please indicate why you chose our product using the indicated scale. *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Features	Strongly DisagreeFeatures Strongly Disagree	DisagreeFeatures Disagree	NeutralFeatures Neutral	AgreeFeatures Agree	Strongly AgreeFeatures Strongly Agree
Price	Strongly DisagreePrice Strongly Disagree	DisagreePrice Disagree	NeutralPrice Neutral	AgreePrice Agree	Strongly AgreePrice Strongly Agree
Appearance of Quality	Strongly DisagreeAppearance of Quality Strongly Disagree	DisagreeAppearance of Quality Disagree	NeutralAppearance of Quality Neutral	AgreeAppearance of Quality Agree	Strongly AgreeAppearance of Quality Strongly Agree
No Other Options	Strongly DisagreeNo Other Options Strongly Disagree	DisagreeNo Other Options Disagree	NeutralNo Other Options Neutral	AgreeNo Other Options Agree	Strongly AgreeNo Other Options Strongly Agree
Better than Competitors	Strongly DisagreeBetter than Competitors Strongly Disagree	DisagreeBetter than Competitors Disagree	NeutralBetter than Competitors Neutral	AgreeBetter than Competitors Agree	Strongly AgreeBetter than Competitors Strongly Agree
Packaging	Strongly DisagreePackaging Strongly Disagree	DisagreePackaging Disagree	NeutralPackaging Neutral	AgreePackaging Agree	Strongly AgreePackaging Strongly Agree

How likely do you think you would be to recommend the product(s) you purchased to others? *

Not at all Likely Extremely Likely
0	1	2	3	4	5	6	7	8	9	10

How likely would you be to purchase other Evermark (or Evermark sub-brand/branded products) in the future? *

Not at all Likely Extremely Likely
0	1	2	3	4	5	6	7	8	9	10

Additional Comments

Likert Scale

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Item #1	Strongly DisagreeItem #1 Strongly Disagree	DisagreeItem #1 Disagree	NeutralItem #1 Neutral	AgreeItem #1 Agree	Strongly AgreeItem #1 Strongly Agree
Item #2	Strongly DisagreeItem #2 Strongly Disagree	DisagreeItem #2 Disagree	NeutralItem #2 Neutral	AgreeItem #2 Agree	Strongly AgreeItem #2 Strongly Agree
Item #3	Strongly DisagreeItem #3 Strongly Disagree	DisagreeItem #3 Disagree	NeutralItem #3 Neutral	AgreeItem #3 Agree	Strongly AgreeItem #3 Strongly Agree

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