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In thinking about your most recent experience with (Company Name), was the quailty of customer service you received:
 
Excellent
 
Good
 
Average
 
Poor
 
Very poor
 
 
 
If you were not totally satisfied with the customer service, please describe the reasons for your dissatisfaction.
   
 
 
 
Was the process for getting your question resolved:
 
Excellent
 
Good
 
Average
 
Poor
 
Very poor
 
 
 
If you were not totally satisfied with the process of getting your problem resolved, please describe the reasons for your dissatisfaction.
   
 
 
 
Would you say the value of the (Company product), as compared to its price, is:
 
Excellent
 
Good
 
Average
 
Poor
 
Very poor
 
 
 
The following questions pertain to the customer service representative you spoke to most recently.
 
 
 
The customer service representative was very courteous.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
The customer service representative handled my call quickly.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
The customer service representative was very knowledgeable.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
The following questions pertain to the process by which your most recent service contract was handled.
 
 
 
The waiting time for having my questions addressed was satisfactory.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
All things considered, over the next 12 months how likely are you to replace your (Company's Product)?
 
Certain
 
High Chance
 
Not sure
 
Low Chance
 
Never
 
 
 
If you are looking to replace (Company Product), what are some of the reasons for doing so?