Customer Satisfaction Survey

Thank you for being a customer. Please help us improve our product and our service to you by completing this survey.

1. What is your overall satisfaction rating with our company?

1
Very
Satisfied
2
Somewhat Satisfied
3
Neither Satisfied
Nor Dissatisfied
4
Somewhat Dissatisfied
5
Very
Dissatisfied


Please tell us why you feel that way:


________________________________________


2. How likely would you recommend our products?

1
Very Likely
2
Somewhat Likely
3
Neither Likely
Nor Unlikely
4
Somewhat Unlikely
5
Very Unlikely



Please tell us why you feel that way:


________________________________________


3. How likely are you to purchase a product again from our company?

1
Very Likely
2
Somewhat Likely
3
Neither Likely
Nor Unlikely
4
Somewhat Unlikely
5
Very Unlikely
________________________________________

Please rate your level of satisfaction with your sales representative in the following areas
:


4. Responsiveness


1
Very
Satisfied
2
Somewhat Satisfied
3
Neither Satisfied
Nor Dissatisfied
4
Somewhat Dissatisfied
5
Very
Dissatisfied


5. Professionalism

1
Very
Satisfied
2
Somewhat Satisfied
3
Neither Satisfied
Nor Dissatisfied
4
Somewhat Dissatisfied
5
Very
Dissatisfied


6. Understanding of my needs

1
Very
Satisfied
2
Somewhat Satisfied
3
Neither Satisfied
Nor Dissatisfied
4
Somewhat Dissatisfied
5
Very
Dissatisfied


If you have any additional comments about how we can improve your satisfaction with our products and services, please fill them in here.


________________________________________

Required Fields:

Your name:
Company Name:
Telephone Number:
E-mail:
City:
State:


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