Lifespan Customer Satisfaction Survey
RequiredRequired Question(s)
1.

Please rate our assistance in relationship to your needs.

Excellent
Good
Fair
Poor
2.

Please rate our response time to your needs.

Excellent
Good
Fair
Poor
3.

Did we treat you with respect?
Yes
No
  • Comment:

  • 500 characters left.
4.

Our goal is to provide a "wow!" experience, did we "wow!" you?  
Yes
No
  • Comment:

  • 500 characters left.
5.

Why did you contact Lifespan?
 

350 characters left.
6.

Would you recommend Lifespan to a friend?
Yes
No
  • Comment:

  • 500 characters left.
7.

How did you find out about Lifespan?
TV ad
Other ad
Professional referral
Friend or relative
Internet
Yellow pages
Prior experience
Other  
8.

We welcome your comments.

 

350 characters left.
Required 9.

Please enter the information indicated below.

Postal Code:

We also welcome reviews on our facebook page. www.facebook.com/lifespan.org and/or in google places.