i.e. Client Satisfaction Survey_Maya
Exit this survey
1. General Questions
i.e would like to collect general characteristics of its clients to better understand its customer base
1
. Please share with us some demographic information to better analyze the results of this survey.
Please share with us some demographic information to better analyze the results of this survey.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. What language did you study with us?
Did you take classes on-site or online?
On-Site
Online
Spanish
*
What language did you study with us? Did you take classes on-site or online? Spanish On-Site
Spanish Online
English
English On-Site
English Online
Dutch
Dutch On-Site
Dutch Online
German
German On-Site
German Online
3
. If you know of someone possibly interested in taking an on-line or on-site language class with us, please provide their contact information below.
If you know of someone possibly interested in taking an on-line or on-site language class with us, please provide their contact information below.
Name:
Contact Info (Email):
Other Info:
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