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Feedback/Request Sheet

★Please send your feedback/requests to just@justsystem.co.jp.

★For questions requiring selection, please change the □ to ■ in the selected item.

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◎Your E-mail Address:
◎Your Name (Registered Name):
◎Please enter the name of the product to which your feedback/request pertains.

◎UserID:
○Postal Code:
○Address:
○Telephone Number:
○Contact FAX Number:
○Please select the option that best applies to your feedback.
□Sales/Price
□Environment/Peripherals (Printer, Memory, Other)
□Functionality
□Screen Design/Usability
□Manual/Components
□Service/Support
□Other (Development [New Product]/Regarding Our Company):

★The following questions concern you.
If you do not mind, please select or fill in the applicable options.

○ Age
□ Under 20
□ 20s
□ 30s
□ 40s
□ 50s and over
○ Gender
□ Male
□ Female
○ Occupation:
○ Computer Environment
・Model:
・OS (Version):
・Installed Memory:
○ Usage History
□ Less than 6 months
□ Less than 1 year
□ Less than 3 years
□ 3 years or more
○ Frequency of Use
□ Daily
□ 2-3 times a week
□ Once a week
□ Once a month
□ Rarely use
○ Place of Use
□ Home
□ Workplace
□ School
○ Purpose of Use:

○ Reason for Purchasing the Product:

○ Please provide specific opinions and requests below:

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Thank you for your cooperation. JustSystems will reflect your opinions and provide even better products.
We appreciate your continued support.
Please note that we do not respond to individual requests. Thank you for your understanding.