Customer Satisfaction Survey
1.
How professional is our company?
Extremely professional
Very professional
Moderately professional
Slightly professional
Not at all professional
  • Comment:

  • 500 characters left.
2.
How convenient is our company to work with?
Extremely convenient
Very convenient
Moderately convenient
Slightly convenient
Not at all convenient
  • Comment:

  • 500 characters left.
3.
How well do you feel that our company understands your needs?
Extremely well
Quite well
Moderately well
Slightly well
Not at all well
  • Comment:

  • 500 characters left.
4.
Compared to our competitors, how is our product quality?
A great deal better
Quite a bit better
Somewhat better
About the same
Somewhat worse
Quite a bit worse
A great deal worse
Don't know
  • Comment:

  • 500 characters left.
5.
Compared to our competitors, how are our prices?
A great deal higher
Quite a bit higher
Somewhat higher
About the same
Somewhat lower
Quite a bit lower
A great deal lower
Don't know
  • Comment:

  • 500 characters left.
6.
How responsive have we been to your questions or concerns about our products?
Extremely responsive
Quite responsive
Moderately reponsive
Slightly responsive
Not at all responsive
  • Comment:

  • 500 characters left.
7.
How would you rate the technical competency of our staff? For example, application knowledge, product use, field support, etc.
Extremely technically competent
Quite technically competent
Moderately technically competent
Needs improvement
Not at all technically competent
  • Comment:

  • 500 characters left.
8.
How well do our customer service representatives answer your questions or solve your problems?
Extremely well
Quite well
Moderately well
Slightly well
Not at all well
  • Comment:

  • 500 characters left.
9.
Overall, are you satisfied with the employees at our company?
Extremely satisfied
Moderately satisfied
Slightly satisfied
Neither satisfied or dissatisfied
Slightly dissatisfied
Moderately dissatisfied
Extremely dissatisfied
  • Comment:

  • 500 characters left.
10.
Overall, are you satisfied with our company?
Extremely satisfied
Moderately satisfied
Slightly satisfied
Neither satisfied or dissatisfied
Slightly dissatisfied
Moderately dissatisfied
Extremely dissatisfied
  • Comment:

  • 500 characters left.
11.
Please enter the information indicated below. We may follow up with you regarding your answers for more clarification if needed. This is completely optional.

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First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Email Address:
Website: