Product/Service Evaluation Survey.
Please rate your overall satisfaction with the [Product/Service], including price, features, customer support.
5 Very Satisfied
4
3
2
1 Very Dissatisfied
Please provide your contact information. All fields are optional.
Name
Phone
E-mail
Organization Name
How long have you used the [Product/Service]?
Less than 1 month
1 to less than 3 months
3 to less than 6 months
6 to less than 12 months
1 year to less than 3 years
3 years or longer
Other
How often do you use the [Product/Service]?
Once a week or more
2-3 times a month
Once a month
Occasionally
Other
Please rate the [Product/Service] on each of the following:
5
Excellent
4
3
2
1
Poor
Value for money
Ease of use
Reliability
Quality
After-sale support
[Criterion 1]
[Criterion 2]
Would you recommend this [Product/Service] to your friend or relative?
0 Not at All Likely
1
2
3
4
5 Neutral
6
7
8
9
10 Extremely Likely
What related [Products/Services] are you using?
Product/Service 1
Product/Service 2
Product/Service 3
Please provide any other comments you would like to make.
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