1. Customer Name

2. Were you pleased with your selection of style and fabric?

3. Is this your first time using our product?

4. How can we improve or add to our products?

5. Any recommendations to improve our website?

6. How did you find our website? (what phrase did you use in search bar)

7. Load your pictures to display on The Replacement Cushion webpage.

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8. Email address

Please be sure to include your name if you require a response from The Replacement Cushion.

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