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Customer Satisfaction Survey
1.
On a scale of 0 to 10,
How likely is it that you would recommend this company 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.
Products and Services
1 - Poor
2
3
4
5 - Excellent
N/A
How would you rate the quality of the product?
1 - Poor
2
3
4
5 - Excellent
N/A
How would you rate the value for cost of the product?
1 - Poor
2
3
4
5 - Excellent
N/A
How responsive have we been to your questions or concerns about our products?
1 - Poor
2
3
4
5 - Excellent
N/A
6.
How likely are you to purchase any of our products again?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
7.
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 - 2 years
3 or more years
I haven't made a purchase yet
8.
Do you have any other comments, questions, or concerns?
9.
Contact Information (optional)
Name
Company
Address
Address 2
City/Town
State/Province
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
Email Address
Phone Number
10.
Would you like to be contacted by Coffin Turbo Pump in regards to this survey?
Yes
No