Overall, how satisfied/dissatisfied are you with our company?
---Select Option---
Very satisfied
Somewhat satisfied
Neither satisfied or dissatisfied
Somewhat dissatisfied Very dissatisfied
Which of the following words would you use to describe our products & services?
---Select Option---
Reliable
High Quality
Good Value for money
Overpriced Ineffective
Poor quality
Unreliable
How well do our products & services meet your needs?
---Select Option---
Extremely Well
Very Well
Somewhat well
Not so well Not at all well
How would you rate our service & Products?
---Select Option---
Very high quality
High quality
Neither high nor low quality
Very low quality
How would you rate the value for money of the product & services?
---Select Option---
Excellent
Above average
Average
Below average
Poor
How responsive have we been to your questions and concerns about our products or services?
---Select Option---
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
How would you rate the personnel?
---Select Option---
Friendly and helpful
Average
Varies on each visit
Poor service
How long have you been a customer of our company?
---Select Option---
This is my first purchase
Less than six months
1-2 years
3 or more years
How likely are you to purchase any of our products/services again?
---Select Option---
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
How likely is it that you would recommend this company to a friend or colleague?
---Select Option---
5 (Extremely likely)
4
3
2
1 (Not at all likely)
Please tell us how we can improve
About You :
May we add you to our mailing list, which offers news and exciting promotions?
---Select Option---
Yes
No
