Customer Satisfaction Survey

Thank you for giving us the opportunity to serve you better. Please help us by taking a few minutes to tell us about your experience with us. We appreciate your business and want to make sure we exceed your expectations.

Name *

Company or Organization *

Email *

Phone

How would you rate your experience with us on the following categories? *

	Very Poor	Poor	Fair	Good	Excellent
Professionalism	Very PoorProfessionalism Very Poor	PoorProfessionalism Poor	FairProfessionalism Fair	GoodProfessionalism Good	ExcellentProfessionalism Excellent
Quality of Products and Services	Very PoorQuality of Products and Services Very Poor	PoorQuality of Products and Services Poor	FairQuality of Products and Services Fair	GoodQuality of Products and Services Good	ExcellentQuality of Products and Services Excellent
Customer Service	Very PoorCustomer Service Very Poor	PoorCustomer Service Poor	FairCustomer Service Fair	GoodCustomer Service Good	ExcellentCustomer Service Excellent
Responsiveness	Very PoorResponsiveness Very Poor	PoorResponsiveness Poor	FairResponsiveness Fair	GoodResponsiveness Good	ExcellentResponsiveness Excellent
Knowledge of our Staff	Very PoorKnowledge of our Staff Very Poor	PoorKnowledge of our Staff Poor	FairKnowledge of our Staff Fair	GoodKnowledge of our Staff Good	ExcellentKnowledge of our Staff Excellent
Overall Experience	Very PoorOverall Experience Very Poor	PoorOverall Experience Poor	FairOverall Experience Fair	GoodOverall Experience Good	ExcellentOverall Experience Excellent

How likely are you to *

	Very Unlikely	Unlikely	Neutral	Likely	Very Likely
Buy from us again	Very UnlikelyBuy from us again Very Unlikely	UnlikelyBuy from us again Unlikely	NeutralBuy from us again Neutral	LikelyBuy from us again Likely	Very LikelyBuy from us again Very Likely
Recommend our services to others	Very UnlikelyRecommend our services to others Very Unlikely	UnlikelyRecommend our services to others Unlikely	NeutralRecommend our services to others Neutral	LikelyRecommend our services to others Likely	Very LikelyRecommend our services to others Very Likely
Recommend our company to others	Very UnlikelyRecommend our company to others Very Unlikely	UnlikelyRecommend our company to others Unlikely	NeutralRecommend our company to others Neutral	LikelyRecommend our company to others Likely	Very LikelyRecommend our company to others Very Likely

Additional comments or suggestions