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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.


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Did you find the staff helpful?
 
Yes
 
No
 
 
 
Additional Comments/Suggestions for improvement
   
 
 
 
In evaluating your most recent customer service experience, was the quality of service you received:
 
Very poor
 
Somewhat unsatisfactory
 
About average
 
Very satisfactory
 
Superior
 
 
 
Please describe if there was any particular aspect of the service experience that stood out:
   
 
 
 
The process of getting your problem resolved was:
 
Very poor
 
Somewhat unsatisfactory
 
About average
 
Very satisfactory
 
Superior
 
 
 
Please describe if there was any particular aspect of the process that stood out:
   
 
 
Customer Service Representative
The customer service representative as very courteous.
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
Which of the following qualities of the service representative stood out (as being superior)?
 
Patient
 
Enthusiastic
 
Listened carefully
 
Friendly
 
Responsive
 
Other
 
 
 
What qualities of the customer service representative irked you?
 
Not patient
 
Not enthusiastic
 
Didn't listen carefully
 
Unfriendly
 
Unresponsive
 
Other
 
No qualities irked me
 
 
 
The customer service representative handled my call quickly.
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
What would best describe your experience, when you called?
 
Kept me waiting on hold
 
Had to explain several times
 
Didn't know how to handle problem
 
Had to ask others
 
Spoke slowly
 
Other
 
No improvement needed
 
 
 
The customer service representative was very knowledgeable.
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
The customer service:
 
Gave me the wrong information
 
Didn't understand the question
 
Gave unclear answers
 
Couldn't solve problem
 
Disorganized
 
Other
 
No improvement needed
 
 
 
The waiting time for having my question addressed was satisfactory.
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
My phone call was quickly transferred to the person who could best assist me:
 
Strongly disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Strongly agree
 
 
 
Over the next 12 months, how likely are you to replace your (product) with another (product or brand)?
 
Certain
 
High chance
 
Equal chance
 
Low chance
 
Never
 
 
 
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.



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