Customer Service Survey

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* 1. Please provide your basic information so that we can contact you regarding any feedback that you have provided in order to clarify or help to resolve any concerns.

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* 2. In evaluating your most recent experience with Gowan Consulting, was the quality of their overall service?

poor

Average

above average

exceptional

Explain your rating:

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* 3. In your most recent experience with Gowan Consulting was there any extra effort or lack of effort that stood out?

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* 4. Please rate the following aspects of our work.

	Excellent	Good	Adequate	Poor	Unacceptable	N/A
Understanding your business requirements	Understanding your business requirements Excellent	Understanding your business requirements Good	Understanding your business requirements Adequate	Understanding your business requirements Poor	Understanding your business requirements Unacceptable	Understanding your business requirements N/A
Communicating clearly and effectively	Communicating clearly and effectively Excellent	Communicating clearly and effectively Good	Communicating clearly and effectively Adequate	Communicating clearly and effectively Poor	Communicating clearly and effectively Unacceptable	Communicating clearly and effectively N/A
Keeping you informed of progress	Keeping you informed of progress Excellent	Keeping you informed of progress Good	Keeping you informed of progress Adequate	Keeping you informed of progress Poor	Keeping you informed of progress Unacceptable	Keeping you informed of progress N/A
Meeting timescales	Meeting timescales Excellent	Meeting timescales Good	Meeting timescales Adequate	Meeting timescales Poor	Meeting timescales Unacceptable	Meeting timescales N/A
Working with you and your team	Working with you and your team Excellent	Working with you and your team Good	Working with you and your team Adequate	Working with you and your team Poor	Working with you and your team Unacceptable	Working with you and your team N/A
Providing value for money	Providing value for money Excellent	Providing value for money Good	Providing value for money Adequate	Providing value for money Poor	Providing value for money Unacceptable	Providing value for money N/A
Responding promptly to problems	Responding promptly to problems Excellent	Responding promptly to problems Good	Responding promptly to problems Adequate	Responding promptly to problems Poor	Responding promptly to problems Unacceptable	Responding promptly to problems N/A
Meeting overall project objectives	Meeting overall project objectives Excellent	Meeting overall project objectives Good	Meeting overall project objectives Adequate	Meeting overall project objectives Poor	Meeting overall project objectives Unacceptable	Meeting overall project objectives N/A

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* 5. Explain any of your ratings in the question above.

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* 6. What level of confidence do you have in us to deliver the services that you require?

Complete

Some

Little

None

Explain:

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* 7. How likely are you to recommend Gowan Consulting to a colleague?

Very Likely

Likely

Maybe

Not Likely

Not at All

If no, why:

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* 8. In the past have you used similar companies, to Gowan Consulting?

Yes

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* 9. How does Gowan Consulting Compare?

	better	same	worse
pricing	pricing better	pricing same	pricing worse
quality of service	quality of service better	quality of service same	quality of service worse
timeliness	timeliness better	timeliness same	timeliness worse
comprehensiveness of service	comprehensiveness of service better	comprehensiveness of service same	comprehensiveness of service worse
ability to understand your business needs	ability to understand your business needs better	ability to understand your business needs same	ability to understand your business needs worse

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* 10. What in your opinion is Gowan Consulting most known for?

Policy & Procedure Development

Injury & Illness Prevention

Ergonomics

Return to Work & Disability Management

Accessibility Planning

Training & Corporate Development

Webtip and Resource Services

Other

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* 11. Would you use any of the other types of services that you have not yet tried from Gowan Consulting?

Yes

please specify which services you might use

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* 12. Based on our performance, how likely is it that you will use Gowan Consulting in the future?

Certain

Very likely

Likely

Maybe

Not likely

Explain:

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* 13. After using Gowan Consulting, what area of their services needs to be improved?

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* 14. What would you say the biggest strength of Gowan Consulting has been?

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* 15. Do you have any issues that you would like us to resolve regarding the services that you received? Please provide us with the details.

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* 16. From time to time future customers request that we provide references or testimonials from past customers. If you would be willing to provide such a reference or testimonial, it would be greatly appreciated.

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* 17. Please indicate if you would like someone from Gowan Consulting to contact you about other service needs

Yes

(please specify)