Galaxie Product Feedback Form

SAMPLE FEEDBACK FORM

Thank you for taking the time to provide us feedback on our products. This is truly valuable insight for us that we will use to improve our products going forward.

Which Product are You Giving Feedback For?

If something else, Which product?

Overall Quality Level

1 2 3 4 5 6 7 8 9 10

Aroma Pungency (Quality)

1 2 3 4 5 6 7 8 9 10

Smoothness (10 Being Smoothest))

1 2 3 4 5 6 7 8 9 10

Taste

1 2 3 4 5 6 7 8 9 10

Effects Experience

1 2 3 4 5 6 7 8 9 10

Strength / Potency

1 2 3 4 5 6 7 8 9 10

Overall experience notes

Would you Purchase this product / Order it for your store?

First Name

Last Name

Email

Phone Number

Province

Your Store (If Applicable)

Position at Your Store (If Applicable)

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