Customer Survey
How long have you used our product or service?
Never used
Less than 1 month
1-3 months
3-6 months
6 months - 1 year
More than 1 year
Product/service usage
1
2
3
4
5
6
How satisfied are you with the product or service?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Quality
7
8
9
10
11
Price
12
13
14
15
16
Customer service
17
18
19
20
21
Installation
22
23
24
25
26
First time experience
27
28
29
30
31
What were you most satisfied with?
What were you least satisfied with?
Does our product or service meet your expectations?
Yes
No
Was our staff courteous and attentive?
Yes
No
Additional comments
Submit
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