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← Widgets
1
Create
2
Design
3
Publish
Continue to Design →
Next →
Draft
5 questions
1
How likely are you to recommend us to a friend or colleague?
Scale rating • Required
2
What influenced your score the most?
Multiple choice • Required
3
What's the main reason for your score?
Long text
4
Would you like us to follow up with you?
Yes / No
5
Your email
Email