Customer Satisfaction Survey Template Question Title * 1. Organisation Name OK Question Title * 2. 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 OK Question Title * 3. Overall, how satisfied or dissatisfied are you with our company? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied OK Question Title * 4. How well do our products meet your needs? Extremely well Very well Somewhat well Not so well Not at all well OK Question Title * 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 OK Question Title * 6. How responsive have we been to your questions or concerns about our products? Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable OK Question Title * 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 OK Question Title * 8. What are we doing that we should keep doing? OK Question Title * 9. What are we doing that we should stop doing? OK Question Title * 10. What else could we do to improve our service? OK Question Title * 11. Do you have any other comments, questions, or concerns? OK Question Title * 12. Name of Person Completing Survey OK Question Title * 13. Position OK DONE