Customer Service Satisfaction Survey
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate how strongly you satisfied with each of the statements.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Not Applicable
Professionalism of the company
Technical support
Responsiveness to the questions and needs
Service/product quality
Delivery time
Performance of the staff
Overall, how satisfied are you with our customer service?
1
2
3
4
5
Compared to the competitors, our customer service is
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How familiar are you with our services?
I use your services frequently
I sometimes use your services
I rarely use your services
Only one time I used your services
Never used your services before
How likely are you to continue to use our services?
Very likely
Likely
Not likely
Not likely at all
Not know
Other
Do you want to add or suggest something?
Name (Optional)
First Name
Last Name
Email (Optional)
example@example.com
Submit
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