产品反馈表设计

以下为一份适用于智能读书灯的用户反馈表设计，侧重于有效收集用户意见和数据，旨在帮助企业优化产品功能与用户体验。

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### **智能读书灯用户反馈表**

尊敬的用户，  
您好！感谢您选择我们的智能读书灯产品。为了不断优化产品功能并提升您的使用体验，我们诚挚邀请您花费3分钟填写这份反馈表。您的意见对我们至关重要！

**第一部分：基本信息（选填）**  
1. 您的年龄：  
   - [ ] 18岁以下  
   - [ ] 18-30岁  
   - [ ] 31-45岁  
   - [ ] 46岁及以上  

2. 您的职业：  
   - [ ] 学生  
   - [ ] 上班族  
   - [ ] 自由职业者  
   - [ ] 退休人士  
   - [ ] 其他：_________  

3. 您购买智能读书灯的主要用途是？（可多选）  
   - [ ] 阅读书籍/学习  
   - [ ] 办公桌面照明  
   - [ ] 个人娱乐（如写作、绘画等）  
   - [ ] 睡前床头灯使用  
   - [ ] 其他：_________  

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**第二部分：产品满意度**  
请为以下项目评分，1分表示非常不满意，5分表示非常满意。  

1. **产品外观设计**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

2. **使用便利性（按钮操作、灯光调节等）**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

3. **灯光效果（亮度、色彩温度、护眼性能）**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

4. **智能功能体验（App控制、语音助手兼容性等）**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

5. **产品质量与耐用性**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

6. **产品性价比**  
   - [ ] 1  [ ] 2  [ ] 3  [ ] 4  [ ] 5  

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**第三部分：使用体验反馈（问答题，简短填写即可）**  
1. 您最满意本产品的哪项特点？为什么？  

   ____________________________________________________________  

2. 您遇到过哪些问题或不便之处？  

   ____________________________________________________________  

3. 有哪些功能或特性您希望在未来版本中改进或新增？  

   ____________________________________________________________  

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**第四部分：总体评价与建议**  
1. 您愿意向朋友或家人推荐我们的智能读书灯吗？  
   - [ ] 非常愿意  
   - [ ] 愿意  
   - [ ] 不确定  
   - [ ] 不愿意  

2. 对产品或服务的其他意见：  
   ____________________________________________________________  

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非常感谢您的宝贵时间与意见！我们将认真参考您的建议，为您提供更加优质的产品和服务。如有其他需求，请随时与我们联系。  

**【提交方式】** 通过扫描以下二维码或访问链接直接提交表单：  
[输入二维码或具体提交方式信息]  

**【联系方式】** 如需进一步沟通，请通过以下方式联系我们：  
电子邮箱：support@smartlamp.com  
客服电话：400-123-4567  

再次感谢，祝您生活愉快！  

***  

**备注：** 以上表单设计注重清晰结构和简洁提问，便于获取用户真实意见和数据反馈。

Certainly! Below is a professionally drafted feedback form for Bluetooth earphones, written in a business-focused and clear style. The objective of this form is to gather valuable customer insights to help guide product improvement, marketing strategy, and customer satisfaction analysis.

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**Bluetooth Earphones Feedback Form**

Thank you for taking the time to provide your feedback. Your input is invaluable in helping us enhance our products and your experience. Please fill out the following questions based on your recent experience with our Bluetooth earphones.

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### **Customer Information**
- **Name (Optional)**: ___________________________________________  
- **Email Address (Optional)**: ___________________________________  
- **Purchase Channel**:  
  ☐ Online Store  
  ☐ Retail Store  
  ☐ E-commerce Platform (e.g., Amazon, etc.)  
  ☐ Other: ________________________  

- **How long have you been using the product?**  
  ☐ Less than 1 month  
  ☐ 1–3 months  
  ☐ 3–6 months  
  ☐ Over 6 months  

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### **Product Experience**

**1. Overall Satisfaction**  
On a scale of 1–5, how satisfied are you with the Bluetooth earphones?  
(1 = Very Dissatisfied, 5 = Very Satisfied)  
1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐  

**2. Audio Quality**  
How would you rate the audio quality?  
☐ Excellent  
☐ Good  
☐ Average  
☐ Below Average  
☐ Poor  

**3. Comfort and Design**  
How comfortable are the earphones during extended use?   
☐ Extremely Comfortable  
☐ Comfortable  
☐ Neutral  
☐ Uncomfortable  
☐ Extremely Uncomfortable  

How satisfied are you with the design/aesthetics of the product?  
☐ Very Satisfied  
☐ Satisfied  
☐ Neutral  
☐ Dissatisfied  
☐ Very Dissatisfied  

**4. Connectivity**  
How reliable has the Bluetooth connection been during usage?  
☐ Excellent: Never encountered connection issues  
☐ Good: Rarely experienced connection interruptions  
☐ Average: Occasional connection drops  
☐ Poor: Frequent connection issues  

**5. Battery Performance**  
How would you rate the product’s battery life?  
☐ Excellent: Consistently exceeds my expectations  
☐ Good: Meets my expectations  
☐ Average: Slightly below expectations  
☐ Poor: Often falls short of expected battery performance  

**6. Features and Functionality**  
Which features are most helpful to you? (Select all that apply)  
☐ Noise Cancellation  
☐ Touch Controls  
☐ Voice Assistant Integration  
☐ Water Resistance/Sweatproof  
☐ Case Portability  
☐ Other: ___________________________  

Are there any features you feel are missing or underperforming?  
☐ Yes: ___________________________  
☐ No  

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### **Customer Support and Value**

**7. Customer Support**  
Have you had any interactions with our customer support team?  
☐ Yes ☐ No  
If yes, how would you rate your overall experience?  
☐ Excellent: Prompt and helpful  
☐ Good: Satisfied with the service  
☐ Average: Service needs improvement  
☐ Poor: Unsatisfactory experience  

**8. Value for Money**  
Do you believe the product offers good value for its price?  
☐ Excellent: Exceeds expectations for the price  
☐ Good: Fair value for the price  
☐ Average: Slightly overpriced  
☐ Poor: Far too expensive for the quality  

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### **Open Feedback**

**9. What do you like most about the Bluetooth earphones?**  
_______________________________________________________  

**10. What could be improved to enhance your experience?**  
_______________________________________________________  

**11. Would you recommend this product to others?**  
☐ Yes  
☐ No  
If no, why not? ___________________________________________  

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### **Optional: Testing New Features**

Would you be interested in beta testing new features or products in the future?  
☐ Yes  
☐ No  

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Thank you for your feedback! We value your opinions and are committed to improving our products and services. If you have any further questions or comments, please feel free to contact us at **[insert customer support email]**.

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This form is structured for clarity and efficiency, focusing on core customer insights while minimizing unnecessary complexity. The insights gathered can guide product improvement efforts, marketing focus, and potential R&D directions.

以下是为电动牙刷设计的一份日语用户反馈表，采用了专业并简洁的商务写作风格：

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### 電動歯ブラシ ユーザーアンケート

平素より弊社製品をご利用いただき、誠にありがとうございます。以下のアンケートは、より良い製品とサービスを提供するために貴重なご意見を収集するものです。お手数ではございますが、ご協力のほどよろしくお願い申し上げます。

#### 1. 製品に関する基本情報  
1-1. ご購入いただいた製品名（モデル名）:
＿＿＿＿＿＿＿＿＿＿＿＿＿＿

1-2. ご使用開始日:
＿＿＿＿＿＿＿＿＿＿＿＿＿＿

1-3. 主にご使用される目的をお聞かせください。（以下から該当するものを選択してください）  
- ☐ 歯茎のケア  
- ☐ 歯垢除去  
- ☐ 口臭予防  
- ☐ ホワイトニング効果  
- ☐ その他（具体的に）:＿＿＿＿＿＿＿＿＿＿＿＿  

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#### 2. 満足度評価  
2-1. 以下の項目について満足度をお知らせください。（5段階評価、5が最も満足、1が最も不満）  

| 項目                        | 1 (不満) | 2          | 3          | 4          | 5 (満足)  |
|---------------------------|-----------|------------|------------|------------|-----------|
| 製品の使いやすさ             | ☐         | ☐          | ☐          | ☐          | ☐         |
| 清掃効果                   | ☐         | ☐          | ☐          | ☐          | ☐         |
| デザイン                   | ☐         | ☐          | ☐          | ☐          | ☐         |
| 持ちやすさ（人間工学的設計）     | ☐         | ☐          | ☐          | ☐          | ☐         |
| バッテリーの持続性             | ☐         | ☐          | ☐          | ☐          | ☐         |
| 音の静かさ                   | ☐         | ☐          | ☐          | ☐          | ☐         |
| コストパフォーマンス             | ☐         | ☐          | ☐          | ☐          | ☐         |

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#### 3. 改善希望  
3-1. 製品について改善が必要だと感じられる点があれば具体的にお聞かせください:  
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿  

3-2. 新しい機能、または追加してほしい機能があればご記入ください:  
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿  

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#### 4. カスタマーサポート  
4-1. 弊社のカスタマーサポートに関して、以下の項目にご評価ください。（5段階評価、5が最も満足）  

| 項目                        | 1 (不満) | 2          | 3          | 4          | 5 (満足)  |
|---------------------------|-----------|------------|------------|------------|-----------|
| 問い合わせ時の対応速度       | ☐         | ☐          | ☐          | ☐          | ☐         |
| 提供された解決策の明確さ       | ☐         | ☐          | ☐          | ☐          | ☐         |
| スタッフの対応の丁寧さ         | ☐         | ☐          | ☐          | ☐          | ☐         |

4-2. サポートに関して追加のご意見・ご感想があればご記入ください:  
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿  

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#### 5. 総合評価  
5-1. 弊社の電動歯ブラシを友人・家族に推薦したいと思いますか？  
- ☐ はい（理由:＿＿＿＿＿＿＿＿＿＿）  
- ☐ いいえ（理由:＿＿＿＿＿＿＿＿＿＿）  

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ご協力いただき、誠にありがとうございました！  
いただいたご意見は、今後の製品・サービスの向上に役立てさせていただきます。  

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このアンケート構成は、使いやすさを重視し、ユーザーからの幅広いフィードバックを効率的に収集することを目的としています。必要に応じてカスタマイズをご検討ください。