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In thinking about your most recent experience with [COMPANY], how satisfied are you with the customer service you received:
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
N/A
 
 
 
If you were not totally satisfied with the customer service, will you please describe the reason(s) for your dissatisfaction?
   
 
 
 
How satisfied are you with the process of getting your question resolved.
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
 
If you were not totally satisfied with the process of getting your question resolved, will you please take a few minutes and describe the reason(s) for your dissatisfaction?
   
 
 
 
How would you rate the [PRODUCT]'s value for money:
 
Excellent
 
Good
 
Fair
 
Poor
 
Not sure
 
 
 
What aspects of [PRODUCT] were of no benifite to you?
   
 
 
 
What aspects of [PRODUCT] were most beneficial for you?
   
 
 
 
Please choose an option that closely represents your opinion about the customer service representative that you spoke to recently.
 
 
 
The customer service representative was very courteous.
 
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
 
 
 
Consider if you would the total package i.e. [COMPANY] customer service, [PRODUCT] features and benefits, and cost. How satisfied are you with the [COMPANY]?
 
Very Satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very Dissatisfied
 
 
 
All things considered, over the next 12 months how likely are you to replace [COMPANY_PRODUCT] with [COMPETITOR_PRODUCT]?
 
Very certain
 
High chance
 
Low chance
 
No chance
 
Not sure
 
 
 
What are some of the reasons that you are looking to replace [COMPANY_PRODUCT] some time this year?
   
 
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