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* 1. Full name (Last, First, Middle)

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* 2. E-mail Address

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* 3. Phone number

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* 4. Have you visited a Don Don Donki (Don Quijote) location before?

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* 5. Which location did you visit?

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* 6. Please rate your experience.

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* 7. Please provide a brief reason for the answer to the previous question.

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* 8. Finally, what kind of goods/merchandise were you mainly shopping for on your last visit to a Don Don Donki?

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