<div class="wdform-page-and-images" style="display:table; border-top:0px solid black;"><div id="form_id_tempform_view1" class="wdform_page" page_title="Untitled page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="false" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="false"><div class="wdform_section"><div class="wdform_column"></div></div><div wdid="1" type="type_section_break" class="wdform_tr_section_break">%1 - custom_1%</div><div class="wdform_section"><div class="wdform_column"></div></div><div wdid="2" type="type_section_break" class="wdform_tr_section_break">%2 - custom_2%</div><div class="wdform_section"><div class="wdform_column"><div wdid="3" class="wdform_row">%3 - Do you ever plan to return to this store?%</div><div wdid="4" class="wdform_row">%4 - Overall, please rate the quality of customer service that you received during this visit.%</div><div wdid="5" class="wdform_row">%5 - What were the main reasons for the poor quality of customer service? Please select all that apply.%</div><div wdid="6" class="wdform_row">%6 - Did you file a formal complaint regarding the customer service?%</div><div wdid="7" class="wdform_row">%7 - When was this complaint filed?%</div><div wdid="8" class="wdform_row">%8 - Did anyone from the store follow-up with you about the complaint?%</div><div wdid="9" class="wdform_row">%9 - Would you like a store representative to contact you?%</div><div wdid="10" class="wdform_row">%10 - Were you satisfied with the follow-up to your complaint?%</div><div wdid="11" class="wdform_row">%11 - Why werent you satisfied with the follow-up to your complaint?%</div><div wdid="12" class="wdform_row">%12 - What is the highest level of education that you have achieved?%</div><div wdid="13" class="wdform_row">%13 - What was your household income last year?%</div><div wdid="14" class="wdform_row">%14 - type_submit_reset_14%</div></div></div><div valign="top" class="wdform_footer" style="width: 100%;"><div style="width: 100%;"><div style="width: 100%; display: table;"><div style="display: table-row-group;"><div id="form_id_temppage_nav1" style="display: table-row;"></div></div></div></div></div></div></div>