Customer Satisfaction Survey

Question Title

1. During your most recent interaction, office staff treated you with courtesy and respect.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Question Title

2. Overall, how responsive has the Diabetes Store Inc. been to your questions or concerns about our service?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

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3. If you receive supplies, are your supplies delivered in a timely manner?

Always

Usually

Sometimes

Rarely

Never

Question Title

4. Overall, how would you rate the Diabetes Store Inc.?

Far above average

Above average

Average

Below average

Far below average

Question Title

5. How likely are you to recommend the Diabetes Store Inc. to others?

Very likely

Likely

Neither likely nor unlikely

Unlikely

Very unlikely

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6. Referral Source: How did you hear about us?

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7. Is there anything we can do to service you better?

Question Title

8. Is there any additional information about your experience that you would like to share?

Question Title

9. Provide Contact Information (Required.)

Name *

Email Address

Phone Number *

Customer Satisfaction Survey

Customer Satisfaction Survey

Question Title

* 1. During your most recent interaction, office staff treated you with courtesy and respect.

Question Title

* 2. Overall, how responsive has the Diabetes Store Inc. been to your questions or concerns about our service?

Question Title

* 3. If you receive supplies, are your supplies delivered in a timely manner?

Question Title

* 4. Overall, how would you rate the Diabetes Store Inc.?

Question Title

* 5. How likely are you to recommend the Diabetes Store Inc. to others?

Question Title

* 6. Referral Source: How did you hear about us?

Question Title

* 7. Is there anything we can do to service you better?

Question Title

* 8. Is there any additional information about your experience that you would like to share?

Question Title

* 9. Provide Contact Information (Required.)

1. During your most recent interaction, office staff treated you with courtesy and respect.

2. Overall, how responsive has the Diabetes Store Inc. been to your questions or concerns about our service?

3. If you receive supplies, are your supplies delivered in a timely manner?

4. Overall, how would you rate the Diabetes Store Inc.?

5. How likely are you to recommend the Diabetes Store Inc. to others?

6. Referral Source: How did you hear about us?

7. Is there anything we can do to service you better?

8. Is there any additional information about your experience that you would like to share?

9. Provide Contact Information (Required.)