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Customer Satisfaction Survey
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First Name
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Last Name
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Company
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Email
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Phone Number
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Overall, how satisfied or dissatisfied are you with our company?
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Very satisfied
Somewhat satisfied
Neither satisfied or dissatisfied
Somewhat dissatisfied
Very dissatisfied
Which of the following words would you use to describe our products? Select all that apply.
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Reliable
High quality
Useful
Unique
Good value for the money
Overpriced
Impractical
Ineffective
Poor quality
Unreliable
How well do our products meet your needs?
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Extremely well
Very well
Somewhat well
Not so well
Not at all well
How would you rate the quality of our products?
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Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
How would you rate the value for money of our products?
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Excellent
Above Average
Average
Below average
Poor
How responsive have we been to your questions or concerns about our products?
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Extemely responsive
Very responsive
Moderately responsive
Not so responsive
Not at all responsive
Not applicable
How long have you been a customer of our company?
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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
How likely are you to purchase any of our products again?
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Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
How likely is it that you would recommend our company?
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Extemely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
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