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Communications Design + Strategy + Content Marketing

Feedback Survey

Please fill out the survey below to…

Name *

First Name

Last Name

Email *

Select dropdown

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Checkbox example

Checkbox options for selecting more than one option.

Option 1

Option 2

Radio example

Radio buttons allow for only one option selection.

Option 1

Option 2

Survey example

Survey let's you indicate how satisfied or unsatisfied you are with something.

Option 1

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Option 2

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

WE CAN ALSO BREAK INTO SECTIONS WITH A DIVIDER LIKE THIS

Text box example

You can have just a plain text box like this for custom answers.

Text Area example

You can have a larger text box if you anticipate a section with longer answers.

Thank you for your feedback!

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To learn more or book a chat, please contact us on any of the following channels:

info@randallanthony.com

Copyright 2022 Randall Anthony Communications Inc.