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Thank you for being a customer.
Please help us improve our product and our service to you by completing this survey.

Upon receiving your completed form,
we will enter you into our yearly $50 drawing!

Customer Satisfaction Evaluation
 
1. What is your overall satisfaction rating with our company?
Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
 
2. How likely are you to recommend our company to a friend or colleague?
Very Likely Somewhat Likely Neutral Somewhat Unlikely Very Unlikely
 
3. Please rate your level of satisfaction with our company in the following areas:
        Responsiveness
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
        Professionalism
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
        Understanding of my needs and answers my questions
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
        Customer Service
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
        Price
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
        Value
         Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied
 
4. Additional Comments / Suggestions:
 
5. May we contact you about any of your responses?
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