Customer Opinion Survey.
Please provide your contact information (all fields are optional).
Name
Telephone Number
E-mail Address
How long have you used [Company] [Product/Service]?
Please select one ...
Less than one month
1-6 months
6-12 months
More than 1 year
How often do you use [Product/Service]?
Once a month or less
Several times a month
Several times a week
Every day
Other
Where do you primarily use [Product/Service]?
At home
At the office
Other
Are you familiar with these related [Products/Services]? Please check all that apply.
Product/Service 1
Product/Service 2
Product/Service 3
What do you consider to be the most important feature/benefit of the [Product/Service]?
Feature/Benefit 1
Feature/Benefit 2
Feature/Benefit 3
What do you consider to be the weak points of the [Product/Service]? Please check all that apply.
Price
Functionality
Design
Versatility
Reliability
Other
Please rate your overall satisfaction with our [Product/Service].
Excellent
Very Good
Good
Fair
Poor
Were our stuff and sales representatives helpful enough?
Yes
No
Other
Were the billing issues handled efficiently?
Yes
No
Please rate the after-sale support you received from [Company].
Excellent
Very Good
Good
Fair
Poor
Please rate your overall purchase experience from [Company].
Excellent
Very Good
Good
Fair
Poor
Please provide any additional comments or ideas you would like to share with us.
Would you like our Customer Care group to contact you additionally?
Yes
No
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