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A Sample Customer Satisfaction Survey
Submitted by
admin
on Fri, 03/01/2013 - 15:46
Overall, please rate the quality of service that you received during this visit
-Select-
Very Good
Good
Neutral
Poor
Very Poor
Please rate the speed of service you received during this visit:
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Did you have any questions or concerns while you were visiting the Store?
Yes
No
Were your questions or concerns addressed to your satisfaction while you were visiting the Store?
Yes
No
Would you like a representative from the Store contact you regarding your concern?
Yes
No
If in the question above you indicated that you would like to be contacted by a representative of the Store, please provide your preferred telephone number below.
-
Area Code
Phone Number
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