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2012
April
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Dear Customer:
As the manager of [COMPANY], I want to thank you for giving us the opportunity to serve you. Please help us serve you better by taking a couple of minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet your expectations. Attached, you will find a coupon good for ...... We hope that you will accept this as a token of our good will.
Sincerely,
[MANAGER_NAME]
Manager
In evaluating your most recent customer service experience, was the quality of service you received:
Very poor
Somewhat unsatisfactory
About average
Very satisfactory
Superior
Please describe if there was any particular aspect of the service experience that stood out:
Please describe if there was any particular aspect of the process that stood out:
Customer Service Representative
The customer service representative as very courteous.
Strongly disagree
Somewhat disagree
Neutral
Somewhat agree
Strongly agree
Which of the following qualities of the service representative stood out (as being superior)?
Patient
Enthusiastic
Listened carefully
Friendly
Responsive
Other
What qualities of the customer service representative irked you?
Not patient
Not enthusiastic
Didn't listen carefully
Unfriendly
Unresponsive
Other
No qualities irked me
On avarage, how often do you visit our Clinic?
Once per week
Once per fortnight
Once per month
Once per quarter
Once per 6 months
Once per year
Comments/Suggestions:
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