THIS FREE SURVEY IS POWERED BY QUESTIONPRO.COM
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Quel est l’âge de votre enfant ? (si vous en avez plusieurs, indiquez leurs âges respectifs).
un (1)
deux (2)
trois (3)
quatre (4)
Cinq et plus
Ages (..,...,....)
 
 
How often do you use our services?
Don't UseDailyWeeklyMonthlyQuarterly
{OPTION 1}
{OPTION 2}
{OPTION 3}
{OPTION 4}
{OPTION 5}
 
 
Where do you purchase our services?
In our store
Online
Telephone order/catalogue
Through a dealer
Through an agent
Through a wholesaler
Other
 
 
How would you rate your overall level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
 
 
How do we rate on the following attributes?
Well Below AverageBelow AverageAverageAbove AverageWell Above Average
Customer service experience
On-time delivery of service
Professionalism
Purchase experience
Quality of service
Understanding of customers' needs
 
 
How do we rate in comparison to other companies that offer the same services?
Much higher
Somewhat higher
Same
Somewhat lower
Much lower
Don't know
 
 
How likely are you to continue using our services?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
 
 
Have you ever recommended us to others?
No, never recommended
Have recommended once or twice
Have recommended several times
 
 
Do you have any suggestions for improvement?
 
 
 
What is your gender?
Male
Female
Prefer not to answer
 
 
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
 
 
What best describes your employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed, looking for work
Unemployed, not looking for work
Student
Retired
Homemaker
Military
Prefer not to answer
Other
 
 
Which of the following categories best describes your annual income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 or more
Prefer not to answer
 
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