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Understanding and Developing Customer Loyalty
For your convenience and ease of reference, we have created a template of Loyalty Program Design Survey. You can use this template as such or modify it to suit your needs. Alternatively, you can design your own survey from scratch.

 Question: Please specify your gender.
Male
Female
 Question: Which age group do you fall into?
21 and Under
22 to 34
35 to 44
45 to 54
55 to 64
65 and Over
 Question: In which category does your income fall?
Under $ 20,000
$20,000 to $29,000
$30,000 to $39,000
$40,000 to $49,000
$50,000 to $69,000
$70,000 to $89,000
$90,000 to $109,000
$110,000 to $149,000
$150,000 and above

Other
 Question: Was the staff in the store able to resolve your query regarding the product?
Yes
No
Somewhat
 Question: If you are a frequent buyer of our product, how likely is it that you will still try out a different brand offering a similar product?
Very likely
Likely
Not sure
Unlikely
Very unlikely
 Question: Please specify how frequently do you buy our product (Insert the name of the product here).
once a week
once a month
once in three months
once in six months
once a year

Other
 Question: If you are not satisfied with our product, what is the reason for the same?
 Question: If you are satisfied with our product, will you continue to buy it in future as well?
Yes
No
Can't say
 Question: Rate your satisfaction level with our product (Insert the name of the product here).
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
 Question: If you are satisfied with our product, would you recommend it to others?
Yes
No
Can't say
 Question: How friendly and helpful was the staff in the store in explaining the benefits of the product?
Very friendly
Friendly
Disinterested
Unfriendly
Very Unfriendly
 Question: What according to you works best in keeping customers loyal to a product?
Good product and service
Courteous behavior of sales demonstrators
Good sales promotion strategies
Solving customer complaints in time
Giving discounts
Giving incentives on 'introduce a friend' offer
Taking customer feedback regularly

Any other, please specify.
 Question: How would you rate this product?
Very good
Good
Average
Poor
Very Poor