Quality Senior Care Support LLC - Customer Satisfaction Survey

Question Title

* 1. How likely is it that you would recommend QSCS to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Question Title

* 2. Overall, how satisfied or dissatisfied are you with QSCS?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 3. How well do our services meet your needs?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

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* 4. How would you rate the quality of the information?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

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* 5. How responsive have we been to your questions or concerns about insurance issues?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

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* 6. How long have you been a customer of QSCS?

This is my first purchase

Less than six months

Six months to a year

1 - 2 years

3 or more years

I haven't made a purchase yet

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* 7. How likely are you to purchase any of our Monthly Service again?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

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* 8. Do you have any other comments, questions, or concerns?

Question Title

* 9. Please complete the information below to receive information from QSCS.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number