Customer Feedback Survey.

Please take a few minutes to complete our survey. Thank you.

Please provide your contact information. All fileds are optional. Name   E-mail address   Telephone number   How did you hear about [Company]? Newspaper Ad TV Ad Online Ad Friend/Relative Other   Please rate the knowledge level of [Company] sales staff. Excellent Very Good Good Fair Poor Please rate the courtesy level of [Company] sales staff. Excellent Very Good Good Fair Poor What was the most important factor in your decision to purchase? Please rate the quality of [Product/Service] you have purchased. Excellent Very Good Good Fair Poor Please rate the value of [Product/Service] for the money. Excellent Very Good Good Fair Poor Did you contact our staff before you purchased [Product/Service]? Yes No Other   Please rate your overall purchase experience. Excellent Very Good Good Fair Poor Did you ever contact our staff after you purchased [Product/Service]? Yes No Other   Please rate our after-sale support. Excellent Very Good Good Fair Poor Was our staff easy to contact? Yes No Other   Were your technical issues / questions managed efficiently? Yes No Other   If you had a complaint, was it resolved? Yes No Would you recommend our [Product/Service] to a friend or relative? Yes No Other   Please describe your overall satisfaction level with our [Product/Service]. Satisfied Somewhat Satisfied Neutral Dissatisfied Are you likely to purchase [Company] [Products/Services] again? Yes No Other   Please provide any additional comments you may have. Would you like our Customer Care group to contact you personally? Yes No

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