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YOUR INFO
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Email
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Name
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PROMOTION FEEDBACK


From: to:
(If samples are still being distributed today, please check here: )


Other:

On a scale from 1-5, please rate the following (check one number for each):
    Easy                  Moderate            Difficult
a) Ease of program execution?
1 2 3 4 5
    Favorable        Indifferent         Unfavorable
b) Shipment of samples/materials
(no delays, no breakage, etc)
1 2 3 4 5
c) Quality of program materials?
1 2 3 4 5
d) Quality of samples/product?
1 2 3 4 5
e) Response from your customers?
1 2 3 4 5
If given the opportunity, would you take part in a similar promotion again? Yes No