Customer Satisfaction Survey
It is our pleasure to serve you, please take a moment to let us know how we are doing. Your Satisfaction is paramount to our mutual success.
All information is kept completely confidential.
Please fill out the form below to submit your survey.
Company Name:
*
Web Site
Name:
*
Prefix
First
*
Last
*
Suffix
Address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number
*
###
-
###
-
####
Service Call#, Invoice# or Customer-Order#
*
Type of Support or Request:
*
Service Repair
Equipment Purchase
Phone Support/Training
Supply Order
Maintenance Coverage
Billing/Invoicing
Meter Reading
Doculment Solution/Networking
Please select from the Pulldown
What the Support Representative
Professional and Courteous?
Yes
Somewhat
No
Was the Support Representative
Responsive to your needs and was
equipped to resolve your request
on the first contact?
Yes
Somewhat
No
Not Applicable
Please rate the Knowledge Level
of the Support Representative.
Very Knowledgable
Somewhat Knowledgable
Not Very Knowledgable
How satisfied are you with your
Support Representative's overall
performance and ownership in
resolving your current request?
Very Satisfied
Somewhat Satisfied
Not Satisfied
How likely are you to recommend our
Products and Services to other Companies?
Very Likely
Somewhat Likely
Not Likely
PLEASE INCLUDE ANY ADDITIONAL COMMENTS:
THANK YOU FOR TAKING OUR SURVEY
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