Customer Satisfaction Survey Template Question Title * 1. How likely is it that you would recommend this company to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 2. 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 Question Title * 3. How well do you feel that our company understands your needs? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 4. How well does our products meet your needs? Extremely well Very well Somewhat well Not so well Not at all well Question Title * 5. How knowledgeable was our staff to your health concerns? Extremely helpful Very helpful Somewhat helpful Not so helpful Not at all helpful Question Title * 6. How long have you been a customer of our company? This is my first purchase Less than six months Six months to a year 1 - 4 years 5 or more years I haven't made a purchase yet Question Title * 7. How did you hear about us Sleep Lab Word of Mouth Google Radio Billboards Fair or other Homeshows Other (please specify) Question Title * 8. Which office do you frequently visit? Simcoe Tillsonburg Dunnville Home Delivery (Oxygen) Question Title * 9. What service do we provide you? Select all that apply CPAP Oxygen Other Question Title * 10. Do you have any other comments, questions, or concerns?Enter Name and phone # here to be eligible for a $25 Visa gift card (must be a current client) Done