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In
[COMPANY NAME], we would like to know what you think
of our work. Please complete this short survey to
provide us with feedback.
What
is your overall satisfaction with [COMPANY NAME] products
and services?
- Very
satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very
dissatisfied
If
you are dissatisfied, why?
How
often do you use [COMPANY NAME] products and services?
- Daily
- About
once a week
- About
once a month
- Several
times a year
-
Once a year
- Other,
please specify: ___________
How long have you been using [COMPANY NAME]'s products
and services?
- Less
than 1 month
- 1
to 6 months
- 6
months to 1 year
-
1 to 3 years
- More
than 3 years
What
is the main reason you originally selected
[COMPANY NAME]'s products and services? (please select
one only)
- Value
for price
- Quality
- Design
and appearance
- Was
recommended it
- On
sale
- Other,
please specify: ___________
How
satisfied are you with [COMPANY NAME] products and
services in the following areas:
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Very
satisfied
|
Satisfied
|
Neutral
|
Dissatisfied
|
Very
dissatisfied
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| Value
for price |
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| Quality
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| Usage
experience |
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| Ability
to meet needs |
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| Design
and appearance |
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How
satisfied are you with your relationships with [COMPANY
NAME] in the following areas:
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Very
satisfied
|
Satisfied
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Neutral
|
Dissatisfied
|
Very
dissatisfied
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| Flexibility
of pricing |
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| Flexibility
of terms and/or agreements |
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| Flexibility
of partner and/or affiliate programs |
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| After-sale
support |
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| Purchase
experience |
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| Repeat
purchase experience |
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| Sales
representatives and support |
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Compared to the alternative products and services
available on the market, how do you estimate [COMPANY
NAME] products and services:
- Much
better
- Somewhat
better
- About
the same
- Worse
- Much
worse
- Don't
know
Based
on your recent experience, will you continue purchasing
products or services from [COMPANY NAME] in future?
- Definitely
- Probably
- Probably
not
- Definitely
not
- Not
sure
If
no, why not?
Would
you purchase additional or related products or services
from [COMPANY NAME]?
- Definitely
- Probably
- Probably
not
- Definitely
not
- Not
sure
Would
you recommend [COMPANY NAME] products or services
to your friend or affiliate?
- Definitely
- Probably
- Probably
not
- Definitely
not
- Not
sure
What is the most convenient way for you to purchase
products or services from [COMPANY NAME]?
- Mail
order
- Internet
- Phone
- Fax
- Other,
please specify: ___________
Did
you experience any problems using [COMPANY NAME] products
or services?
- Yes,
quite often
- Yes,
but rarely
- No
Don't remember
If
you did, what kind of problems?
What could we undertake to increase your level of
satisfaction with [COMPANY NAME]?
If
you have any additional comments or wishes in regard
with [COMPANY NAME] products or services, please share
them:
Finally, do you know anyone else that [COMPANY NAME]
may be able to assist? Please click
here [ new window opens ] to view our 'Customer
Referral Rewards' program details.
Please
submit your contact information if you have any additional
questions and would like us to contact you.
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Get
more Survey
Questions here.
