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Please describe your current residence:
 
Owned by you or someone in household with a mortgage or loan
 
Owned by you or someone in household free and clear (no mortgage or loan)
 
Rented
 
Occupied without payment of rent
 
 
 
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 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
 
 
 
How satisfied were you with your last experience with our company?
 
Extremely satisfied
 
Moderately satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Moderately dissatisfied
 
Extremely dissatisfied
 
 
 
How helpful were the customer service representatives you interacted with?
 
Extremely helpful
 
Very helpful
 
Moderately helpful
 
Slightly helpful
 
Not at all helpful
 
 
 
How responsive is our company to your needs or questions?
 
Extremely responsive
 
Very responsive
 
Moderately responsive
 
Slightly responsive
 
Not at all responsive
 
 
 
Compared to our competitors, how does our product quality compare?
 
Much better
 
Somewhat better
 
Slightly better
 
About the same
 
Slightly worse
 
Somewhat worse
 
Much worse
 
 
 
Compared to our competitors, how does our service quality compare?
 
Much better
 
Somewhat better
 
Slightly better
 
About the same
 
Slightly worse
 
Somewhat worse
 
Much worse
 
 
 
Compared to our competitors, how do our prices compare?
 
Much more reasonable
 
Somewhat more reasonable
 
Slightly more reasonable
 
About as reasonable
 
Slightly less reasonable
 
Somewhat less reasonable
 
Much less reasonable
 
 
 
Overall, how satisfied are you with the employees at our company?
 
Extremely satisfied
 
Moderately satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Moderately dissatisfied
 
Extremely dissatisfied
 
 
 
How well did the representatives of our company answer your questions?
 
Extremely well
 
Very well
 
Moderately well
 
Slightly well
 
Not at all well
 
 
 
How professional is our company to interact with?
 
Extremely professional
 
Very professional
 
Moderately professional
 
Slightly professional
 
Not at all professional
 
 
 
Do you like our company, please select the most appropriate:
 
Like a great deal
 
Like a moderate amount
 
Like a little
 
Neither like nor dislike
 
Dislike a little
 
Dislike a moderate amount
 
Dislike a great deal
 
 
 
If you are not likely to buy our new product , why not?
 
Do not need a product like this
 
Do not want a product like this
 
Satisfied with competing products currently available
 
Cannot pay for a product like this
 
Not willing to pay for a product like this
 
 
 
Overall, how satisfied are you using our new service?
 
Extremely satisfied
 
Moderately satisfied
 
Slightly satisfied
 
Neither satisfied nor dissatisfied
 
Slightly dissatisfied
 
Moderately dissatisfied
 
Extremely dissatisfied
 
 
 
How well did the customer service representative at our company answer your questions?
 
Extremely well
 
Very well
 
Moderately well
 
Slightly well
 
Not at all well
 
 
 
How often do you have to wait on hold when calling customer service?
 
Always
 
Most of the time
 
About half the time
 
Once in a while
 
Never
 
 
 
How well do you think our company understands what you needs to be successful?
 
Extremely well
 
Very well
 
Moderately well
 
Slightly well
 
Not at all well
 
 
 
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 likely are you to recommend our company?
 
Extremely likely
 
Very likely
 
Moderately likely
 
Slightly likely
 
Not at all likely
 
 
 
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 strongly would you recommend our company ?
 
Extremely strongly
 
Very strongly
 
Moderately strongly
 
Slightly strongly
 
Not at all strongly
 
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