Customer Satisfaction Question Title * 1. How likely is it that you would recommend this company to a friend or colleague? NOT AT ALL LIKELY EXTREMELY LIKELY 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 OK Question Title * 2. Overall, how satisfied or dissatisfied are you with our company? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 3. Which of the following words would you use to describe our products? Select all that apply. Reliable High quality Useful Unique Good value for money Overpriced Impractical Ineffective Poor quality Unreliable OK Question Title * 4. How well do our products meet your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 5. How would you rate the quality of the product? Very high quality High quality Neither high nor low quality Low quality Very low quality OK Question Title * 6. How would you rate the value for money of the product? Excellent Above average Average Below average Poor OK Question Title * 7. How responsive have we been to your questions or concerns about our products? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 8. How long have you been a customer of our company? This is my first purchase Less than six months Six months to a year 1 - 2 years 3 or more years I haven't made a purchase yet OK Question Title * 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 OK Question Title * 10. Do you have any other comments, questions, or concerns? OK Question Title * 11. Tell us about yourself!* You may leave this blank and remain anonymous. Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK Question Title * 12. Let us know who you primarily work with. Inside sales contact Outside sales contact Other contact OK DONE
