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Service - Customer Satisfaction Survey


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Thank you for choosing Block Imaging. We strive to continually improve our customer service, and your response to the questions below will help us greatly. Please take a moment to let us know how we did and we'll send you a $5 Starbucks or Subway gift card for your time - just don't forget to fill in your mailing address!

Thank you for your time and support, 

Block Imaging Service Team
 
 
Contact Information
* Your Name : 
* Your Company/Organization Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
* Email Address : 
 
 
 
Which customer service representative did you work with?
 
Sarah
 
David
 
Stephen
 
Simeon
 
Nicole
 
 
 
How satisfied are you working with Block Imaging Service Team?
 
Very Satisfied
 
Moderately Satisfied
 
Satisfied with a Few Concerns
 
Very Little Satisfaction
 
I can't get no Satisfaction
 
 
 
* Please list the reason/s why you rated your satisfaction level the way you did.
   
 
 
 
How satisfied were you with the response time from our service team?
 
Very Satisfied with Response Time
 
Moderatley Satisfied with Response Time
 
Response Time Needs Improvement
 
Response Time Extremely Slow
 
Did the engineer ever respond?
 
 
 
Please rate the overall professionalism and courtesy of our service coordinator.
 
Very Professional and Courteous
 
Moderately Professional and Courteous
 
Needs Improvement with Professionalism and Courtesy
 
Please enroll the Service Coordinator in Etiquette Classes
 
Hopeless
 
 
 
* Please let us know what you liked or disliked most about your experience with our service coordinator.
   
 
 
 
Please rate the professionalism and courtesy of the field service engineer who serviced your imaging equipment.
 
Very Professional and Courteous
 
Moderately Professional and Courteous
 
Needs Improvement with Professionalism and Courtesy
 
Please enroll the engineer in Etiquette Classes
 
Hopeless
 
 
 
* Please let us know what you liked or disliked most about your experience with our engineer.
   
 
 
 
Did you feel your service coordinator and/or engineer communicated status updates effectively throughout the duration of the service call?
 
Very Satisfied with Communication of Updates
 
Moderatley Satisfied with Communication of Updates
 
Needs Improvement with Communication of Updates
 
Barely Communicated Updates
 
Is the Service Call Over?
 
 
 
* Please let us know what your service coordinator did well or not so well on updating you throughout the service call.
   
 
 
 
How likely are you to refer Block Imaging to a colleague?
 
Very Likely to Refer
 
Probably Likely to Refer
 
Needs Improvement and May Refer
 
Probably Will not be My First Referral
 
Never
 
 
 
* In what ways do you feel we could improve?
   
 
 
 
* What gift card would you prefer?
 
Starbucks
 
Subway
 
None
 
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