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Questions marked with a * are required Exit Survey
 
 
* How long have you been purchasing our 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
 
 
How often do you use our services?
Don't Use Daily Weekly Monthly Quarterly
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* {OPTION 2}
* {OPTION 3}
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How did you hear about our service?
 
In our store
 
Online
 
Telephone order
 
Word of Mouth
 
Through a wholesaler
 
Other
 
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How do we rate on the following attributes?
Well Below Average Below Average Average Above Average Well Above Average
* Customer service experience
* On-time delivery of service
* Professionalism
* Purchase experience
* Quality of service
* Understanding of customers' needs
 
 
 
* How do we rate in comparison to other companies that offer the same services?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
* How likely are you to continue using our services?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
* Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
Do you have any suggestions for improvement?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer
 
 
 
What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
Thank you for taking the time to complete our survey!