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Name
   
Company
   
Email Address
   
Phone Number
   
 
 
 
How long have you used our company's services?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
Please indicate your level of satisfaction with the following attributes of our service.
Very Dissatisfied Somewhat Dissatisfied Neutral Somewhat Satisfied Very Satisfied
Delivery of service
Methods of communication
Quality of support
Price
Post-service follow-up
Knowledge of our staff
 
 
Comment:
   
 
 
Please rate how strongly you agree/disagree with the following statements.
Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree
Our service played a key role in increasing your business results
The cost of our service is worth the benefits achieved
We achieved the pre-established targets/goals
We understand the needs of your company
We are thorough in planning and execution
 
 
Comment:
   
 
 
 
How likely are you to renew your contract with us?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How do we rate compared to other consultants/service providers?
 
Much better
 
Better
 
About the same
 
Worse
 
Much worse
 
Don't know/not applicable
 
 
 
Have you ever referred our services to a friend or colleague?
 
I have never referred your services to anyone.
 
I have referred your services to 1-2 people.
 
I have referred your services to numerous people.
 
 
 
Do you have any suggestions for improvement?
   
 
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