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How satisfied are you with our services?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Website
Customer Service
Overall
 
 
 
For which of our locations are you completing this survey?
 
{LOCATION 1}
 
{LOCATION 2}
 
{LOCATION 3}
 
 
 
How well did our staff respond to your needs?
 
Below standard
 
Insufficient
 
Satisfactory
 
Good
 
Excellent
 
 
 
How would you rate your level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
 
How would you rate your overall level of satisfaction with us?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
Comment:
 
 
 
Have you ever recommended us to others?
 
No, never recommended
 
Have recommended once or twice
 
Have recommended several times
 
 
 
How do we rate in comparison to other companies that offer the same products?
 
Much higher
 
Somewhat higher
 
Same
 
Somewhat lower
 
Much lower
 
Don't know
 
 
 
How likely are you to continue doing business with us?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How likely you would recommend our products to a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How often would you like to receive our newsletter?
 
Weekly
 
Every two weeks
 
Monthly
 
Quarterly
 
Semi-annually
 
Annually
 
 
 
How much of our newsletter do you read?
 
A quarter or less
 
From a quarter to half
 
Half to three-quarters
 
More than three-quarters
 
 
 
What is your overall satisfaction with the newsletter?
 
Very satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
 
How relevant do you find the information in the newsletter?
 
Very relevant
 
Somewhat relevant
 
Neutral
 
Somewhat irrelevant
 
Very irrelevant
 
 
 
How satisfied were you with your last interaction with our company?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How helpful is our company with your needs or questions?
 
Extremely helpful
 
Very helpful
 
Moderately helpful
 
Slightly helpful
 
Not at all helpful
 
 
 
In general, how satisfied are you with the employees you interacted with?
 
Extremely satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Extremely dissatisfied
 
 
 
How well do the employees at our company protect your privacy?
 
Extremely well
 
Very well
 
Moderately well
 
Slightly well
 
Not at all well
 
 
 
How knowledgeable were the customer service representatives you interacted with?
 
Extremely knowledgeable
 
Very knowledgeable
 
Moderately knowledgeable
 
Slightly knowledgeable
 
Not at all knowledgeable
 
 
 
How clear was the information the customer service representatives provided you?
 
Extremely clear
 
Very clear
 
Moderately clear
 
Slightly clear
 
Not at all clear
 
 
 
How eager were the customer service representatives to help you?
 
Extremely eager
 
Very eager
 
Moderately eager
 
Slightly eager
 
Not at all eager
 
 
 
How long did you have to wait before a customer service representative was able to help you?
 
Extremely long
 
Very long
 
Moderately long
 
Slightly long
 
Not at all long
 
 
 
How likely are you to recommend our company?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
How likely are you to use our company again in the future?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely