Customer Satisfaction Survey
Answers marked with a * are required.
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  Please take our quick survey to assess your satisfaction with [Product X]. We look forward to reviewing your responses. Thank you for your time and feedback!
 
1. Please rate your overall satisfaction with [Product X]. Please use a 5-point scale where 1 is Very Dissatisfied and 5 is Very Satisfied.




       		 
 
2. Please rate [Product X] on a 5-point scale where 1 is Poor and 5 is Great.to 5 (Great).
  Poor 1 2 3 4 Great 5
Quality of product
Length of life of product
Design of the product
Consistency of quality
 
 
3. Please rate the delivery of [Product X] on a 5-point scale where 1 is Poor and 5 is Great.to 5 (Great).
  Poor 1 2 3 4 Great 5
Speed of delivery
Quality of delivery
 
 
4. Please rate the staff for [Product X] on a 5-point scale where 1 is Poor and 5 is Great.
  Poor 1 2 3 4 Great 5
Courtesy from staff
Representative's availability
Representative's knowledge
Complaint resolution
After sales service
Technical service
 
 
5. Is there anything that [Product X] could have done to improve your satisfaction?