LET US KNOW HOW YOU FEEL! Survey ID Name Email Birthday Gender Female Male Do Not Want To Say Which sample are you reviewing? Multipurpose Cleaner Overall, how do you rate this product? (1=Very Bad; 5 =Very Good) 1 Very Bad 2 Bad 3 Average 4 Good 5 Very Good For what purpose did you use this sample? Home Cleaning Office Cleaning Auto, RV, Boat Specialty (other) How much do you spend usually on a single cleaning product? 1-5$ 5-10$ 10-15$ 15-25$ 50$+ Would you recommend the Mr. Orange sample to others? Yes No Any other comments or reviews? Send