{"id":553903,"date":"2021-06-09T18:50:46","date_gmt":"2021-06-09T22:50:46","guid":{"rendered":"https:\/\/influencesport.ca\/customer-experience-questionnaire\/"},"modified":"2026-05-27T21:01:08","modified_gmt":"2026-05-28T01:01:08","slug":"customer-experience-questionnaire","status":"publish","type":"page","link":"https:\/\/influencesport.ca\/en\/customer-experience-questionnaire\/","title":{"rendered":"Customer Experience Questionnaire"},"content":{"rendered":"\n<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_0 et_pb_row et_block_row\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h2>CUSTOMER EXPERIENCE QUESTIONNAIRE<\/h2>\n<\/div><\/div><\/div><\/div><\/div><div class=\"et_pb_section_1 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_1 et_pb_row et_pb_gutters1 et_block_row\"><div class=\"et_pb_column_1 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>Questionnaire on your customer experience. Enter for a chance to win a $100 gift card by completing this short form.<\/p>\n<\/div><\/div><div class=\"et_pb_code_0 et_pb_code et_pb_module\"><div class=\"et_pb_code_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-553902 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-553902\" data-uid=\"6a3c9e9209f66\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-553902\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-553902 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"553902\"\n\t\t\t\t data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a3c9e9209f66\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a3c9e9209f66\" id=\"forminator-field-name-1_6a3c9e9209f66-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a3c9e9209f66\" id=\"forminator-field-name-2_6a3c9e9209f66-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a3c9e9209f66\" id=\"forminator-field-text-1_6a3c9e9209f66-label\" class=\"forminator-label\">Receipt # <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a3c9e9209f66\" id=\"forminator-field-text-6_6a3c9e9209f66-label\" class=\"forminator-label\">Postal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a3c9e9209f66\" id=\"forminator-field-email-1_6a3c9e9209f66-label\" class=\"forminator-label\">Email<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a3c9e9209f66\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-553902__field--select-1_6a3c9e9209f66\" id=\"forminator-form-553902__field--select-1_6a3c9e9209f66-label\" class=\"forminator-label\">Did you find all the items you came looking for?<\/label><select  id=\"forminator-form-553902__field--select-1_6a3c9e9209f66\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-553902__field--select-1_6a3c9e9209f66-label\"><option value=\"oui\"  data-calculation=\"0\">Yes<\/option><option value=\"non\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a3c9e9209f66\" id=\"forminator-field-text-3_6a3c9e9209f66-label\" class=\"forminator-label\">If no, please specify<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a3c9e9209f66\" id=\"forminator-field-text-2_6a3c9e9209f66-label\" class=\"forminator-label\">On a scale of 1 to 10 how did you find the service (10 being the best rating)?<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6a3c9e9209f66\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-553902__field--select-2_6a3c9e9209f66\" id=\"forminator-form-553902__field--select-2_6a3c9e9209f66-label\" class=\"forminator-label\">How many times have you visited Influence Sport?<\/label><select  id=\"forminator-form-553902__field--select-2_6a3c9e9209f66\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-553902__field--select-2_6a3c9e9209f66-label\"><option value=\"premire-visite\"  data-calculation=\"0\">First visit<\/option><option value=\"1-5\"  data-calculation=\"0\">1 to 5<\/option><option value=\"6-10\"  data-calculation=\"0\">6 to 10<\/option><option value=\"10-et-plus\"  data-calculation=\"0\">More than 10 times<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a3c9e9209f66\" id=\"forminator-field-textarea-1_6a3c9e9209f66-label\" class=\"forminator-label\">Comments<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a3c9e9209f66\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" maxlength=\"180\" ><\/textarea><span id=\"forminator-field-textarea-1_6a3c9e9209f66-description\" class=\"forminator-description\"><span data-limit=\"180\" data-type=\"characters\" data-editor=\"\">0 \/ 180<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><div id=\"captcha-1\" class=\"forminator-field-captcha  forminator-col-12 \"><div class=\"forminator-captcha-left forminator-g-recaptcha recaptcha-invisible\" data-theme=\"light\" data-badge=\"bottomright\" data-sitekey=\"6Le3Ni4gAAAAAPiAZjfass6aeV9jxj6cVrF9Y-yY\" data-size=\"invisible\"><\/div> <\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Send<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"cc802dbb47\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/553903\" \/><input type=\"hidden\" name=\"form_id\" value=\"553902\"><input type=\"hidden\" name=\"page_id\" value=\"553903\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/influencesport.ca\/en\/customer-experience-questionnaire\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-553903","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/pages\/553903","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/comments?post=553903"}],"version-history":[{"count":4,"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/pages\/553903\/revisions"}],"predecessor-version":[{"id":675800,"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/pages\/553903\/revisions\/675800"}],"wp:attachment":[{"href":"https:\/\/influencesport.ca\/en\/wp-json\/wp\/v2\/media?parent=553903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}