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Surveys
2005
June
S
Sample Survey
Sample Survey
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
In thinking about your most recent experience with [COMPANY], was the quality of customer service you received:
Very Poor
Somewhat Unsatisfactory
About Average
Very Satisfactory
Superior
The process for getting your concerns resolved was:
Very Poor
Somewhat Unsatisfactory
About Average
Very Satisfactory
Superior
Now please think about the features and benefits of the [PRODUCT] itself. How satisfied are you with the [PRODUCT]:
Very Poor
Somewhat Unsatisfactory
About Average
Very Satisfactory
Superior
Customer Service Representative
The following questions pertain to the customer service representative you spoke with most recently. Please indicate whether you agree or disagree with the following statements
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The customer service representative was very courteous
The customer service representative handled my call quickly
The customer service representative was very knowledgeable
Are there any other comments about the customer service representative you would like to add?
The Process
The following questions pertain to the process by which your most recent service contract was handled. Please indicate whether you agree or disagree with the following statements.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The waiting time for having my questions addressed was satisfactory
My phone call was quickly transferred to the person who best could answer my question
The automated phone system made the customer service experience more satisfying
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Considering the total package offered by including customer service, [PRODUCT] features and benefits, and cost; how satisfied are you with [COMPANY]?
COMPANY
Thank you for your feedback. We sincerely appreciate your honest opinion and will take your input into consideration while providing products and services in the future.
If you have any comments or concerns about this survey please Contact: -
[COMPANY]
[MANAGER_NAME]
[ADDRESS_1]
[ADDRESS_2]
[CITY], [STATE], [ZIP]
Would you recommend [PRODUCT OR SERVICE] to others?
Definitely
Probably
Maybe
Probably not
Definitely not
Never used
What recommendations would you offer for improving [PRODUCT/SERVICE]?
Please contact
[email protected]
if you have any questions regarding this survey.
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