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Surveys
2014
October
K
Katie - Customer Satisfaction Survey
Katie - Customer Satisfaction Survey
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Thank you for your business! We very much appreciate our customers and their opinions. 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!
This survey will be used to measure what areas we need to improve in. It is very important to Block Imaging Parts & Service that we continually improve our customer service and satisfaction.
Thank you very much for your time and support.
Sincerely,
Katie Clifford
Customer Service Representative- Parts
Block Imaging Parts & Service
Contact Information
*
Your Name
:
*
Your Company/Organization Name
:
Address 1
:
Address 2
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Indiana
Iowa
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Maryland
Massachusetts
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Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
*
Email Address
:
What is your overall satisfaction level working with Block Imaging Parts & Service? (5 being very satisfied and 1 being very unsatisfied)
5
4
3
2
1
Please list the reason/s why you rated your satisfaction level the way you did.
How satisfied were you with your sales representative? (5 being very satisfied and 1 being very unsatisfied)
5
4
3
2
1
How satisfied were you with your sales representative's response time? (5 being very satisfied and 1 being very unsatisfied)
5
4
3
2
1
How satisfied were you with the speed at which you received your part? (5 being very satisfied and 1 being very unsatisfied)
5
4
3
2
1
Was the packaging of the part satisfactory?
(5 being very satisfied and 1 being very unsatisfied)
5
4
3
2
1
How likely are you to purchase from Block Imaging Parts & Service again? (5 being very likely and 1 being very unlikely)
5
4
3
2
1
In what ways do you feel we could improve?
What gift card would you prefer?
Starbucks
Subway
N/A Outside of US
None
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