Edugage Contact Form
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Section 1: Contact Information (Email Required)
Name *
Email Address *
Phone Number (Optional)
Please include your country code when providing your phone number.
Skype ID (Optional)
Section 2: Reasons for Contacting Us
Please select the reason(s) for your visit.
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Any additional comments to add to your reason?
If you select "Other" above, please specify
Section 3: Website Experience
Please rate your experience on our website:
Overall website experience: (Scale from 1 to 5)
Poor
Excellent
Clear selection
Ease of navigation: (Scale from 1 to 5)
Difficult
Easy
Clear selection
Content relevance: (Scale from 1 to 5)
Not Relevant
Highly Relevant
Clear selection
Section 4: Comments and Suggestions
Please provide specific and actionable feedback or suggestions for improving our website or services:
Section 5: Consent
May we contact you based on the information you provided in this survey for further clarification or to address your concerns?
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