A. Basic Information

2. You are *

Male
Female
Other
Prefer not to say

3. What is your age demographic? *

Under 25
25-34
35-44
45-54
55+

4. Country/region of business operations *

B. Shopify Store Information

5. What industry are you in? *

6. Current number of products in your store *

Under 50
50-100
100-500
Over 500

7. Your business model *

Retail (D2C)
Dropshipping
POD (Print on demand)
Wholesale
Other

8. Average monthly revenue (USD) *

Under $1000
$1,000–$5,000
$5,000–$20,000
Over $20,000

C. Detailed Theme Setup Requirements

9. Which pages do you need us to set up? *

Homepage
Product page
Collection page

10. Homepage sections/components to include

11. Product page components to include

12. Collection page components to include

Collection banner
Pagination style - Page number
Pagination style - Load more button
Pagination style - Infinite scroll
Filtering options
Sorting options
Desktop filter layout - Horizontal
Desktop filter layout - Vertical

13. Preferred brand colors

14. A store you’d like to use as reference

15. Desired deadline to complete the setup

16. Preferred contact method *

Email
WhatsApp
Other

17. Contact detail (Email address, WhatApp number, or other) *

18. Timezone & preferred time window to contact you

E. Customer Experience Survey

19. How did you hear about our theme/company? *

Facebook
Instagram
LinkedIn
Google search
Shopify Theme Store
Referral (friends/colleagues)
Other

20. Reasons you chose our theme *

Professional design
Fast speed & performance
Good support service
Features match your needs
Other

21. Where do you usually research Shopify themes? *

Blogs
YouTube
Forums & communities
Shopify Theme Store
Facebook
Instagram
Other

22. Top factors when choosing a Shopify theme *

UI/UX design
Speed & performance
Ease of use & customization
Price
Quality of customer support
Other

23. Any difficulties with your current theme?

Using general settings (font, color, spacing,...))
Using theme features
Looking for theme documentation
Other

24. Any feedback or suggestions for your current theme?

25. Rate our current Purity theme

Very poor

Poor

Average

Good

Excellent

26. What improvements would you like us to make?

27. What extra offers/resources would you like from us?

Documentation & optimization tips
Discount codes & promotions for apps/new themes
News about the latest updates
Free webinars
Other

28. Do you plan to open more stores or upgrade your current setup? *

Yes
No
Not sure
Yes, but not now

29. Would you recommend our theme if satisfied? *

Probably No

Not Sure

Probably Yes

Yes

A. Basic Information

B. Shopify Store Information

C. Detailed Theme Setup Requirements

D. Contact & Access

E. Customer Experience Survey

Promotion

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