Customer Satisfaction Template
1
. How convenient is Addiction Assessments to use?
How convenient is Addiction Assessments to use?
Extremely convenient
Very convenient
Moderately convenient
Slightly convenient
Not at all convenient
2
. How professional is our company?
How professional is our company?
Extremely professional
Very professional
Moderately professional
Slightly professional
Not at all professional
Other (please specify)
3
. Compared to our competitors, is our service quality better, worse, or about the same?
Compared to our competitors, is our service quality better, worse, or about the same?
Much better
Somewhat better
Slightly better
About the same
Slightly worse
Somewhat worse
Much worse
4
. Compared to our competitors, are our prices more reasonable, less reasonable, or about the same?
Compared to our competitors, are our prices more reasonable, less reasonable, or about the same?
Much more reasonable
Somewhat more reasonable
Slightly more reasonable
About as reasonable
Slightly less reasonable
Somewhat less reasonable
Much less reasonable
Other (please specify)
5
. How responsive is our company?
How responsive is our company?
Extremely responsive
Very responsive
Moderately responsive
Slightly responsive
Not at all responsive
6
. How well did the staff at our company answer your questions?
How well did the staff at our company answer your questions?
Extremely well
Very well
Moderately well
Slightly well
Not at all well
Other (please specify)
7
. Overall, how satisfied are you with our staff?
Overall, how satisfied are you with our staff?
Extremely satisfied
Moderately satisfied
Slightly satisfied
Neither satisfied nor dissatisfied
Slightly dissatisfied
Moderately dissatisfied
Extremely dissatisfied
8
. Do you like our company, neither like nor dislike it, or dislike it?
Do you like our company, neither like nor dislike it, or dislike it?
Like a great deal
Like a moderate amount
Like a little
Neither like nor dislike
Dislike a little
Dislike a moderate amount
Dislike a great deal
9
. How likely are you to recommend our company to people you know ?
How likely are you to recommend our company to people you know ?
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
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