JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Get 10% Off By Completing This Survey
Complete this survey and receive an exclusive discount coupon code at the end.
Average Completion Time: 80 seconds
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Transaction ID (TX ID)
*
This survey and discount code is exclusive to existing customers like you. Please confirm your transaction ID below.
Your answer
Is this your first time buying cryptocurrency?
*
Yes
No
Is this your first time using a Bitcoin ATM?
*
No
Yes
Where did you hear about us?
*
Other
CoinATMRadar
Google Maps
Twitter
Facebook
Referral from a friend
App Store
Saw a Localcoin Bitcoin ATM in the store
Instagram
Reddit
Google Search
Youtube
What is your gender?
*
Female
Male
Prefer not to say
How old are you?
*
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Why did you choose to use Localcoin ATMs?
*
Check all options applicable to you
Locations are closer to me
Machines are easier to use
Trustworthy reputation
Good customer support
No ID or verification required
Lower transactions rates
Other:
Required
What are you buying cryptocurrency for?
*
Supporting blockchain technology
Legal and/or tax related payment
Store of value
To pay for a product or service
Investment
Sending money to someone overseas
Other:
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Localcoin.
Report Abuse
Forms