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Customer Satisfaction Template
1.
On a scale of 0 to 10,
How likely is it that you would recommend Baxter Pharmacy to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
2.
Overall, how satisfied or dissatisfied are you with our company?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
3.
Which of the following words would you use to describe our products? Select all that apply.
Reliable
High quality
Useful
Unique
Good value for money
Overpriced
Impractical
Ineffective
Poor quality
Unreliable
4.
How well do our products meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
5.
How would you rate the quality of the product?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
6.
How would you rate the value for money of the product?
Excellent
Above average
Average
Below average
Poor
7.
How responsive have we been to your questions about our services?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
8.
How long have you been a customer of Baxter Pharmacy?
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
9.
How likely are you to purchase any of our products again?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
Current Progress,
0 of 9 answered