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Thank you for purchasing our product(s) and for giving us the opportunity to serve your fitness needs. Please help us serve your future needs better by taking a couple of minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet and exceed your expectations.
   
Name:
   
Address:
   
Email:
   
Country:
   
City:
   
State:
   
Zip:
   
Phone:
   
Gender:
   
Age:
   
Date of Purchase:
   
Place of Purchase:
   
Which best describes your household income?:
 
   
What PowerBlock product(s) did you purchase? (required):
 
   
Very Unsatised = 1 Extremely Satised = 5
Product Value?
Purchase Experience?
Usage Experience?
After Purchase Service?
Overall Satisfaction?
   
Very Unlikely = 1 Extremely Likely = 5
Recommend to others?
   
Time spent working out?
Days/Week:
   
Hours/Week:
   
How many years have you been working out?
 
   
Comments:
 
   


 
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