Dear Customer:
On behalf of Amthai PTY LTD "DENTISTE' night-time toothpaste", we would like to thank you for giving us the opportunity to deliver the satisfaction to you by trying our product. Please help us serve you better by taking a couple of minutes to tell us about the DENTISTE's product that you have received and tried so far. We want to make sure that we meet your expectations.

Your Details * mandatory fields
Title  
First Name *   Last Name
Email Address * Gender *

Address  
Suburb *   State *  
Postcode *  

Survey Questions * mandatory fields
1. How old are you? *
below 15 15-20 21-25 26-30 31-35 36-40 40-45 46-50 over 50
 
2. Which of the following best represent the highest level of education that you have completed? *
Some high school or less Associates degree
High school graduate Bachelor degrees
Attended some college Post graduate
 
3. Please estimate your annual household income *
Less than $20,000 $50,000 - $74,999
$20,000 - $29,999 $75,000 - $99,999
$30,000 - $49,999 $100,000 or more
 
4. Please rank what is the most important criteria you look when selecting toothpaste of this kind *
(5= most important, 1 = less important)

1
2
3
4
5
Quality *
Cost *
Quantity *
Brand name *
Familiarity *
 
5. How did you learn about this product? *
Giveaway sampling Website
Friend recommended Others
Information from the shop at Melbourne Central
 
6. How satisfied are you with the elimination of bad morning breath after the first few times of use? *
Very unsatisfied Unsatisfied Neutral Satisfied Very satisfied
 
7. Compared to other toothpastes that are available , would you say that Dentiste is *
Much better, the result can be seen after a first night of use.
Somewhat better, the result can be seen after a few times of use.
About the same, do not see the result.
Somewhat worse
Much worse
Don't know or never used
 
8. Will you use/purchase Dentiste’ night time toothpaste again? *
Definitely will
Probably will
Might or might not
Probably will not
Definitely will not
Never used
 
9. How likely are you to recommend Dentiste night-time toothpaste to others? *
Definitely will recommend
Probably will recommend
Not sure
Probably will not recommend
Definitely will not recommend
Never used
 
10. Based on your experience with Dentiste' night-time toothpaste, how likely are you to buy other toothpaste again?*
Very unlikely Unlikely Somewhat unlikely Very likely Extremely likely
 
11. If you contacted DENTISTE customer service, were all problems resolved to your complete satisfaction? *
Yes - by the company or its representatives
Yes - by me or someone outside the company
No - the problem was not resolved
No problems / no contact with customer service
 
12. If you have additional comments for DENTISTE night-time toothpaste about your experience with the products that have not been addressed in the survey, please enter them below.