|
Dear Customer,
Thank you very much for your generous support. With your warm support we have been nominated for Customer Excellence Awards 2008. We highly appreciate your feedback. Please spare few moments to fill-up this form. Thanks.
Q1. How would you rate your level of overall satisfaction with us?
12345NA (1="Extremely dissatisfied" and 5="Extremely Satisfied")
Why do you say that? What specifically are you satisfied or dissatisfied with?
Q2. How likely are you to recommend us to a friend or relative?
ExcellentVery GoodGoodFairPoorNA
Q3. How likely are you to repurchase from us?
ExcellentVery GoodGoodFairPoorNA
Q4. How would you rate the overall quality of your relationship with us?
ExcellentVery GoodGoodFairPoorNA
Q5. How would you rate your level of satisfaction with us in regards to customer service?
ExcellentVery GoodGoodFairPoorNA
Q6. How would you rate your level of satisfaction with us in regards to price?
ExcellentVery GoodGoodFairPoorNA
Q7. How would you rate your level of satisfaction with us in regards to value?
ExcellentVery GoodGoodFairPoorNA
Q8. In total, how long have you been our customer?
Last 1 year1 to 3 years3 to 5 years5 to 10 years10 years and more
Q9. I believe your business deserves my loyalty.
12345678910
(1= Completely agree, 10=Completely disagree)
Q10. My loyalty to your business has grown stronger in the past.
12345678910
(1= Completely agree, 10=Completely disagree)
Q11. You value people and relationships ahead of short-term goals.
12345678910
(1= Completely agree, 10=Completely disagree)
Q12. About yourself:
Name:
Post Code:
Gender:MaleFemale
Age:
Occupation:
Annual Income:Under 10K10K to 20K20K to 30K30K to 40KAbove 40K
|
