Wine Club Survey

Dear customer, please take a few minutes to answer the following survey about your wine consumption, which will help us improve our service.

As a way of saying thank you for your time and effort, a 20% discount code will be sent to your email when you submit the form. Enjoy!

Wine Clubcard (optional) Clubcard number: FV-/UK
Expiry date

About yourself Full name
Email address
What is your age?

What is your gender? (optional)

Female
Male
Prefer not to answer

Wine consumption In your household, how many people consume wine? (including yourself)
Where do you usually drink wine?

Wine purchase

Where do you usually buy wine? (multiple choice)

Supermarkets
Wine shops
Wine makers
Delicatessens
Online
Restaurants
I usually receive wine as a gift
Other

How much wine do you buy every month?

1 or 2 bottles
3 - 6 bottles
7 - 10 bottles
10+ bottles

Satisfaction with our service On a scale of 1 to 10, where 1 is dreadful and 10 is excellent, how would you rate your experience on our website?

Do you agree or disagree with the following statement? "I would recommend Wine Club."

Strongly disagree	Desagree	Neither agree or disagree	Agree	Strongly Agree

Additional comments or suggestions (optional)