Home-Employment - Feedback Form

FEEDBACK FORM

Your feedback is important to us!
Thank you for taking the time to share your thoughts with us.

How many times have you visited our web site before?
This is my first visit Visited Two-Three times before

How would you rate the overall quality of our web site?

Ease of Use
Very Poor Poor Good Very Good Excellent

Web site answered all your questions
Very Poor Poor Good Very Good Excellent

Are you looking for full-time or part-time home employment?
Full Time Part Time

Do you feel our services may be able to help you find what you're looking for?
Yes No Not Sure

Will you be ordering our software today?
Yes No Not Sure

If not, Why?

Where did you hear about our web site?

Search Engine -	Keyword Used:
Other web site -	Address:
Classified Ad -	Where:
Newspaper Ad -	Where:
Mail Ad -	Where:
Friend or Relative-	Did they order our package: Yes No

Would you be interested in working from home for your current employer if you could?
Yes No

Would you be interested in starting your own home business?
Yes No

What were you hoping to find at this web site that you did not find?

What other comments or suggestions do you have for us?

Your e-mail address:

Your Name:

Your Phone: