Customer Satisfaction Survey
RequiredRequired Question(s)
Required 1.
Please enter the information indicated below. You'll be entered into a $50 Visa card raffle for your time spent on this survey.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
City:

Required 2.

How did you hear about Esposito's Electric?

Repeat client
Yellowpages
Internet
Postcard
Referred by others
Other  
3.

How would you rate your level of satisfaction with us?

Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
  • Comment:

  • 500 characters left.
4.

How do we rate on the following attributes of our Office staff?

 Well Below Average Below Average Average Above Average Well Above Average 
Initial contact
Knowledge
Professionalism
Schedule availability
Service appointment confirmation
5.
How do we rate on the following attributes of our Service staff?
 Well Below Average Below Average Average Above Average Well Above Average 
Appearance
Knowledge
Professionalism
Job completion
Price value of service performed
6.

How likely is it that you would recommend our Electrical Services to a friend or colleague?

Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely