Customer Satisfaction Template

Question Title

* 1. How likely is it that you would recommend our services 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

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* 2. Overall, how satisfied or dissatisfied are you with the services you received?

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 services? Select all that apply.

Reliable

High quality

Effective

Ineffective

Poor quality

Unreliable

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* 4. How well does our services 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 the service?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 6. How responsive have we been to your questions about our services?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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

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* 8. Please provide the name of the partner that spoke with you

Question Title

* 9. Please provide the full legal name of your business or the name of the person completing the form and phone number if you would like us to contact you regarding your responses: