Hispanic Customer Feedback Survey
We value your feedback! Please share your experience and suggestions to help us serve you better.
Full Name
First Name
Last Name
Email Address
example@example.com
What is your age group?
*
Under 18
18-24
25-34
35-44
45-54
55+
Which language do you prefer for communication?
*
Spanish
English
Both
Other
How did you hear about us?
*
Friend or Family
Social Media
Online Search
Event or Community Program
Other
Please rate your overall satisfaction with our service.
*
1
2
3
4
5
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Staff was friendly and helpful
1
2
3
4
5
Information was provided in my preferred language
6
7
8
9
10
The process was easy to understand
11
12
13
14
15
I felt respected and valued
16
17
18
19
20
Which of our services/products did you use?
*
Customer Support
Product Purchase
Community Event
Online Resources
Other
How likely are you to recommend us to others?
*
Not likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not likely, 10 is Extremely likely
What can we do to improve your experience?
Any additional comments or suggestions?
Submit Feedback
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