Customer Satisfaction Survey

We would appreciate it if you would take a few moments to answer the following questions. Please be assured that we do not share or sell personal information about you except when we have your permission.

Name:

Address:

City, State & Zip:

Email (optional):

Phone (optional):

How Would You Like Us To Respond?
 Email Phone No Response Necessary

How Long Have You Used Our Product/Service?
 Less Than a Month 1-6 Months 6 Months - 3 Years Over 3 Years

How Often Do You Use Our Product/Service?
 Once a Week 2-3 Times a Month Once a Month Less Than Once a Month

Overall, How Satisfied Were You With Our Product/Service?
 Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A

What Aspect of the Product/Service Were You Most Satisfied By?
 Quality Price Purchase Experience Installation/First Use Usage Experience Customer Service Repeat Purchase Experience

What Aspect of the Product/Service Were You Most Disappointed By?
 Quality Price Purchase Experience Installation/First Use Usage Experience Customer Service Repeat Purchase Experience

Do You Have Any Suggestions On How We Might Improve Our Services?

What Do You Like About the Product/Service?

What Do You Dislike About the Product/Service?

Thinking of Similar Products/Services Offered By Other Companies, How Would You Compare the Product/Service Offered By Our Company?
 Much Better Somewhat Better About the Same Somewhat Worse Much Worse Don't Know

Would You Use Our Product/Service In the Future?
 Definitely Probably Not Sure Probably Not Definitely Not

Would You Recommend Our Product/Service to Colleagues or Contacts Within Your Industry?
 Definitely Probably Not Sure Probably Not Definitely Not

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