* 1. For which department are you completing this survey? 

* 2. How likely is it that you would recommend Gold Cross to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

* 3. Overall, how satisfied or dissatisfied are you with Gold Cross?

* 4. Which of the following words would you use to describe our service? Select all that apply.

* 5. How well does our service meet your needs?

* 6. How would you rate the quality of our service?

* 7. How long have you been working with us?

* 8. How responsive have we been to your questions or concerns about our services?

* 9. My experience with Gold Cross took place on the following date/time:

Date / Time

* 10. Details regarding your experience:

* 11. Do you have any other comments, questions, or concerns?

T