Exit Survey
 
 
This is question one?
 
Two
 
Four
 
One
 
Three
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
Please drag and rank(1st to 3rd) the following in order of interest:
Drag your choices here to rank them
     
     
    Please rate the following:
    Books
    Movies
    Music
     
     
     
    First Name : 
    Last Name : 
    Address 1 : 
    Address 2 : 
    City : 
    State : 
    Zip : 
    Phone : 
    Email Address : 
     
     
     
    What is your gender?
     
    Male
     
    Female