Customer Satisfaction Survey Template

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* 1. How likely is it that you would recommend Bassett's Market to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 2. Overall, how satisfied or dissatisfied are you with Bassett's Market?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 3. Which of the following words would you use to describe our store? Select all that apply.

Reliable

High quality

Useful

Unique

Good value for money

Overpriced

Impractical

Ineffective

Poor quality

Unreliable

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* 4. How well do our products meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 5. How would you rate the quality of our products?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 6. How would you rate the value for money of our products?

Excellent

Above average

Average

Below average

Poor

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* 7. How responsive have we been to your questions or concerns?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 8. How long have you been a customer of Bassett's Market?

This is my first purchase

Less than six months

Six months to a year

1 - 2 years

2 - 5 years

5 - 10 years

15 - 25 years

25 years +

I haven't made a purchase yet

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* 9. How likely are you to purchase any of our products again?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

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* 10. Do you have any other comments, questions, or concerns?

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* 11. Please enter your contact information and enter-to-win prizes!

First Name

Email Address

Phone Number

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* 12. Would you like us to contact you about upcoming deals, promotions, and events?

Yes