Survey of KKT products

Dear Customer:

Please help us improve the quality of our products by completing the following survey:

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Name & Family

Write Your Name & Family

Sex

• Male
• Female

Phone Number

Write Your Phone Number

Age

Write Your Age

Type of product: *Select product typeToothbrushDental FlossWater BottleBaby Products

Please select the type of product purchased.

Code entered on the product packaging:

Please enter the code entered on the product packaging.

City of residence:

Write your city of residence

Place of purchase

• Pharmacy
• Super Market
• Shops
• Online Shops
• Exhibition
• Others

Product Name

Please write the name of the purchased product.

Place Name

Name of the place you have purchased the product

Send