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Have you ever ordered [PRODUCT] from [COMPANY]?
 
Yes
 
No
 
 
 
Overall, how would you rate [COMPANY]?
 
Excellent
 
Good
 
Average
 
Poor
 
Terrible
 
 
 
How satisfied are you with your service from [COMPANY]?
 
Extremely satisfied
 
Very satisfied
 
Neutral
 
Very dissatisfied
 
Extremely dissatisfied
 
 
 
Would you recommend [COMPANY] to a friend?
 
Yes
 
No
 
 
 
If no, why not?
   
 
 
 
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]?
   
 
 

Dear Sir/Madam:




As the president of [COMPANY], I want to thank you for buying our product. Please help us better understand your needs by completing the survey below. Thank you for your time.



Sincerely,

[MANAGER NAME]

President
 
 
The following is a list of product and service items. How satisfied are you with on each item?
PRODUCT
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Not Applicable
Overall quality
Value
Purchase experience
Installation or first use experience
Usage experience
After purchase service (warranty, repair, help desk)
 
 
 
How long have you used [PRODUCT]?
 
Less than 1 month
 
1 to 6 months
 
6 months to 1 year
 
1 to 2 years
 
2 years or more
 
Never used
 
 
 
How often do you use [PRODUCT]?

 
Once a week or more often
 
2 to 3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year or less often
 
Do not use
 
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
 
Compared to other [PRODUCT CATEGORY] that are available, would you say that [PRODUCT] is:
 
Much better
 
Somewhat better
 
About the same
 
Somewhat worse
 
Much worse
 
Don't know or never used
 
 
 
Will you use/purchase [PRODUCT] again?
 
Definitely will
 
Probably will
 
Might or might not
 
Probably will not
 
Definitely will not
 
Never used
 
 
 
How likely are you to recommend [PRODUCT] to others?
 
Definitely will recommend
 
Probably will recommend
 
Not sure
 
Probably will not recommend
 
Definitely will not recommend
 
Never Used
 
 
 
Based on your experience with [PRODUCT], how likely are you to again buy a [Company Product]?


 
Very Unlikely
 
Unlikely
 
Somewhat Unlikely
 
Very Likely
 
Extremely Likely
 
 
 
If you have contacted [COMPANY] customer service, were all problems resolved to your complete satisfaction?
 
Yes, by the company or its representatives
 
Yes, by me or someone outside the company
 
No, the problem was not resolved
 
No problems/No contact with customer service
 
 
 
What would you like to tell [COMPANY] about your satisfaction with [PRODUCT] that was not already asked in the survey?
   
 
 
 
Thank you for your feedback.
 
 
 
Do you usually buy this [PRODUCT] on sale?
 
Yes
 
No
 
Doesn't matter
 
 
 
What other brands of [PRODUCT_CATEGORY] have you heard of?
 
Brand A
 
Brand B
 
Brand C
 
None
 
Other
 

 
 
 
What were reasons for trying this [PRODUCT]?
 
Looks good
 
Easy to use/convenient
 
Price Value
 
Solves Problem
 
Readily available
 
Best quality
 
Good selection
 
Just what I need
 
Advertising
 
Have not used
 
Other
 

 
 
 
How did you first discover this product was available for purchase?
 
Advertising - TV, newspaper, magazine, radio
 
Ad in another (product) - brochure, preview
 
Friends/Family/Someone told me about it
 
Read a magazine article/review
 
Saw it in the store/Browsing in store
 
Through the mail/mail catalog
 
Other
 
 
 
What is the one reason you purchased this (product)?
 
Someone asked for it
 
Makes a great gift
 
Own other (products) and wanted more
 
It is a classic
 
Good for the whole family
 
Saw it in the store
 
I like the (product)
 
Price/Good value
 
Other
 
 
 
 
   
 
 
 
 
   
 
 
Primarily, for whom was this product purchased?
Male Female
2 yrs. or younger
3-5 yrs.
6-8 yrs.
9-12 yrs.
13-17 yrs.
18-24 yrs.
25-34 yrs.
35-44 yrs.
45-54 yrs.
55+ yrs.
 
 
 
 
   
 
 
 
Your age:
 
12 yrs. or younger
 
13-17 yrs.
 
18-24 yrs.
 
25-34 yrs.
 
35-44 yrs.
 
45-54 yrs.
 
55-64 yrs.
 
65+ yrs.
 
 
Please tell us how the described product would rate on the following attributes.
1
Not At All Descriptive
2
3 4 5
Very Descriptive
High quality
Expensive
A brand I can trust
Well built
A good value
 
 
 
Overall, what is your reaction to the described product?
 
Poor
 
Fair
 
Good
 
Very Good
 
Excellent
 
 
 
What other brands of [Product Category] have you used? (Check all that apply.
 
Brand A
 
Brand B
 
Brand C
 
I haven't used [Product], but I'm familiar with it.
 
I know nothing about [Product].

 
 
 
What is it that you like about [Product]? Please enter as many items as you wish.
   
 
 
 
What do you like least about [Product]?
   
 
 
 
What would be your main reason for buying the product?
   
 
 
 
Overall, how interested are you in buying this product if it were available? Please check one.
 
Not at all Interested
 
Not Very Interested
 
Neither Interested nor Uninterested
 
Somewhat Interested
 
Very Interested
 
 
 
Which of the following best describes your need for this product?
 
I really need this product because nothing else can solve this problem.
 
This is a minor improvement over what I currently use.
 
It looks okay but is about the same as what I'm doing now.
 
My current product would serve me better.
 
You've got to be kidding. Why would I need this product?
 
 
 
Based on the description, what price would you expect to pay for the product?
   
 
 
 
Assuming the new product is priced comparably to other major brands, would you say it is a...
 
Very poor value
 
Somewhat poor value
 
Average value
 
Fairly good value
 
Very good value
 
 
 
In what ways does the described product appear to be superior to other [Product Category] brands?
   
 
 
 
Overall, what would be your most important factors in choosing a [Product Category]? Please check three.


 
Value
 
Best performance
 
Good repair/Warranty service
 
Recognized brand name
 
High quality
 
Shopping convenience
 
Easy/fast service
 
Discount
 
Good sales representative/dealer/owner
 
Broad selection of products
 
Do not know
 
Other

 
 
 
Other than the product itself, which of the following would most influence you when deciding to buy a [Product]?
 
Commentary on the Internet/Web site
 
Word-of-mouth
 
Sales/service representative
 
Industry publications
 
Advertising
 
Trade shows/events
 
Guarantee/warranty offers
 
Other
 
 
 
To receive your free (60-minute long distance phone card) within two weeks, just take a few minutes now to tell us why, after inquiring about (product), you decided not to purchase.

Completion Time: Approximately 5 minutes
 
 
 
How did you first learn about (product)?
 
Advertisement
 
Newspaper or magazine article
 
Trade show
 
Search engine
 
Company website
 
Internet chat/list
 
Referral
 
Other
 
 
 
What originally caught your attention about (product) and caused you to inquire about (product)?
   
 
 
 
If you could change the product to make it valuable enough for you to purchase, how would you change it?
   
 
 
 
What was the main reason you did not purchase (product)?
 
Already purchased a different product
 
No longer needed the product
 
Technical reason not use the product
 
Put off the purchase for a future time
 
Am still considering the product
 
Other
 
 
 
Which one of the following products did you purchase instead of (product)?
 
Product A
 
Product B
 
Product C
 
Product D
 
Product E
 
Product F
 
Product G
 
Other
 
 
 
Please describe the main reasons you purchased our competitor's product. What did it offer you that (product) did not?
   
 
 
 
Did anyone else influence your buying decision?
 
Yes
 
No
 
 
 
If yes, how was the influential person related to you and what did they say or do that influenced you?
   
 
 
 
Dear Customer:



As the manager of [COMPANY], I want to thank you for giving us the opportunity to serve you. Please help us serve you better by taking a couple of minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet your expectations. Attached, you will find a coupon good for ...... We hope that you will accept this as a token of our good will.



Sincerely,

[MANAGER_NAME]

Manager
 
 
How satisfied are you with regarding the following items?
PRODUCT
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Not Applicable
Overall quality
Value
Purchase experience
Installation or first use experience
Usage experience
After purchase service (warranty, repair, customer service etc)
 
 
 
How often do you use [PRODUCT]?

 
Once a week or more often
 
2 to 3 times a month
 
Once a month
 
Every 2-3 months
 
2-3 times a year
 
Once a year or less often
 
Do not use
 
 
Overall, how satisfied are you with [PRODUCT]?
 
Very Unsatisfied
 
Unsatisfied
 
Somewhat Satisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
 
Compared to other [PRODUCT CATEGORY] that are available, would you say that [PRODUCT] is...
 
Much better
 
Somewhat better
 
About the same
 
Somewhat worse
 
Much worse
 
Don't know or never used
 
 
 
Will you use/purchase [PRODUCT] again?
 
Definitely will
 
Probably will
 
Might or might not
 
Probably will not
 
Definitely will not
 
Never used
 
 
 
How likely are you to recommend [PRODUCT] to others?
 
Definitely will recommend
 
Probably will recommend
 
Not sure
 
Probably will not recommend
 
Definitely will not recommend
 
Never Used
 
 
 
Based on your experience with [PRODUCT], how likely are you to buy a [OTHER PRODUCT] again?


 
Very Unlikely
 
Unlikely
 
Somewhat Unlikely
 
Very Likely
 
Extremely Likely
 
 
 
If you contacted [COMPANY] customer service, were all problems resolved to your complete satisfaction?
 
Yes, by the company or its representatives
 
Yes, by me or someone outside the company
 
No, the problem was not resolved
 
No problems/No contact with customer service
 
 
 
If you have additional comments for [COMPANY] about your experience with [PRODUCT] that have not been addressed in the survey, please enter them below.
   
 
 
 
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 Name

Address 1

Address 2

City, State, ZipCode

 
Please contact [email protected] if you have any questions regarding this survey.
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