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Surveys
2005
May
G
Grab Rail Evaluation
Grab Rail Evaluation
0%
What is the purpose of the item in question?
Assist you whilst bathing?
Assist you using the toilet?
Assist you around the home?
Assist your access to your home?
Are you able to grip well?
Yes
No
Sometimes
What kind of surface would you like the rail to have?
Smooth
Textured
Ribbed
No preference
Would you prefer another colour than white, if so what?
Yes
No
State colour
Overall, how would you rate our service so far?
Excellent
Good
Average
Poor
Terrible
Would you use our service in the furture?
Definately
Yes
No
Maybe
How satisfied are you with your service from [COMPANY]?
Extremely satisfied
Very satisfied
Neutral
Very dissatisfied
Extremely dissatisfied
How important is the positioning of your rail?
Extremely
Fairly
Not important
If you had a choice where you put the rail at the entrance, where would you prefer it?
On the outside wall
On the inside reveal
Have you got any suggestions that may assist us in this evaluation?
For your
NEXT
[PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
Very likely
Somewhat likely
Not sure
Somewhat unlikely
Very unlikely
Which of the following modes did you use to place the
LAST
order for [PRODUCT]?
Mail order
Internet
Over the phone
Fax
Other
What are the
THREE
main reasons you didn't purchase [PRODUCT] from [COMPANY]?
If you could change something about [COMPANY] what would it be?
Are there any other comments you have for [COMPANY]?
Please contact
[email protected]
if you have any questions regarding this survey.
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