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How long have you been purchasing our services?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
How often do you use our services?
Don't Use Daily Weekly Monthly Quarterly
{SERVICE 1}
{SERVICE 2}
{SERVICE 3}
{SERVICE 4}
{SERVICE 5}
 
 
Comment:
   
 
 
 
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 Average Below Average Average Above Average Well Above Average
Customer service experience
On-time delivery of service
Professionalism
Purchase experience
Quality of service
Understanding of customers' needs
 
 
Comment:
   
 
 
 
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
 
 
 
How likely are you to recommend our company to a friend or colleague?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you have any suggestions for improvement?
   
 
 
 
Which category best describes the industry you work in?
 
Automotive
 
Advertising
 
Consulting Services
 
Education
 
Entertainment
 
Financial Services
 
Government Services
 
Healthcare
 
Human Resources
 
Information Technology
 
Marketing/Sales
 
Non-Profit
 
Pharmaceuticals
 
Public Relations
 
Technical Services
 
Travel
 
Other
 
 
 
 
Which category best describes the functional area you work in?
 
Administration
 
Accounting
 
Business Development
 
Consulting
 
Engineering
 
Finance
 
Human Resources
 
Marketing/Sales
 
Public Relations
 
Strategy
 
Other
 
 
 
 
How many people are there in your organization?
 
1
 
2 - 4
 
5 - 9
 
10 - 24
 
25 - 49
 
50 - 99
 
100 - 249
 
250 - 499
 
500 - 999
 
1000 or more
 
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