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2016
June
D
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Hello: You are invited to participate in our survey [Project Description Here
Name
Department
How satisfied are you with the following:
Very Dissatisfied
Not Satisfied
Neutral
Satisfied
Very Satisfied
Website
Customer Service
Overall
Name -
City -
Department -
How satisfied are you with the following:
Very Dissatisfied
Not Satisfied
Neutral
Satisfied
Very Satisfied
Website
Customer Service
Overall
Which products do you use?
A
B
C
D
How would you rate ?
Good
Bad
Okay
How satisfied are you with our services
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
What types of credit cards do you have (Select all that apply)?
Visa
Mastercard
American Express
Discover
Diners Club
*
Name
How many months have you been at your current residence?
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
How often do you conduct surveys?
Weekly
Monthly
Quarterly
Annually
What types of credit cards do you have (Select all that apply)?
Visa
Mastercard
American Express
Discover
Diners Club
How would you rate
Importance
Satisfaction
Not Important
Very Important
Not Satisfied
Very Satisfied
1
2
3
4
5
1
2
3
4
5
Customer Service
Product Packaging
On-Time Arrival
Considering your
complete
experience with our company, how likely would you be to recommend our products to a friend or colleague?
«Very Unlikely
Very Likely»
0
1
2
3
4
5
6
7
8
9
10
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