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Overall, how satisfied are you with the product?
 
Superior
 
Very Satisfactory
 
About Average
 
Somewhat Unsatisfactory
 
Very Poor
 
 
 
The process for getting your concerns resolved was:
 
Very Unsatisfactory
 
Somewhat Unsatisfactory
 
About Average
 
Somewhat Satisfactory
 
Very Satisfactory
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
If you are not satisfied with the product, will you please describe why.
   
 
 
Customer Service 



Please indicate whether you agree or disagree with the following statements
Very High High Neutral Low Very Low
Quality 
Reliable
The customer service representative was very knowledgeable
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Are there any other comments about the customer service representative you would like to add?
   
 
 
 
Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.



If you have any comments or concerns about this survey please contact: -

[COMPANY]

[MANAGER_NAME]

[ADDRESS_1]

[ADDRESS_2]

[CITY], [STATE], [ZIP]