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Cutomer Feedback Survey
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Survey Questions:
What do you like most about Kreem Shakti?
*
Where do you think we can improve Kreem Shakti?
*
Please share any improvements or changes you would like to see.
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How easy is it to navigate the Kreem Shakti website?
*
Very Easy
Easy
Average
Difficult
Very Difficult
Have you encountered any issues when visiting the website?
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Yes
No
Please specify the issues you've experienced.
*
Please be as specific as possible to ensure we can solve the issue.
Do you find the topics in our blog interesting and relevant to your life?
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Extremely
Sometimes
Not At All
What blog topics would be more interesting and relevant to you?
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Are there any other services you would like to see us offer?
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Yes
No
Please specify the services you would like to see us offer.
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How often do you drink tea?
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Constantly
Often
Sometimes
Seldom
Never
How often do you use ayurvedic ingredients when you cook?
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Constantly
Often
Sometimes
Seldom
Never
How did you hear about Kreem Shakti?
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In-person event/tradeshow
Referred by friend/family
Search Engine
Social Media
Word of Mouth
Other
Please describe how you heard about Kreem Shakti.
*
If you have any additional feedback, please include it here.
Product Sample
As a thank you for filling out this survey, we would love to send you a free product sample! Please fill in your mailing information and answer these questions so we can choose the right product for you!
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
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Arkansas
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Connecticut
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District of Columbia
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Kentucky
Louisiana
Maine
Maryland
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is your predominant dosha?
*
Pitta
Vata
Kapha
Click
HERE
to take our 20-question Dosha quiz and get your results!
What type of skin do you have?
*
Dry
Sensitive
Oily
Combination
Please list any allergies you have.
*
We will make sure your sample products do NOT contain any of these ingredients.
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