The following is a sample Customer Service Satisfaction Survey.
This is NOT a real, working survey. It will not submit any answers or record any information. It is only a sample.
We have created a generic form to illustrate only the types of questions which can be asked and the various formats which can be utilized. This is not an exhaustive list and any question that you might wish to ask a survey participant can be created by Creative Organizational Design
A. Demographics - We can collect any number of demographic variables that you wish.
1. Please indicate your gender:
2. Your State or Province of Residence is:
3. How many people reside in your home?
4. Please indicate your age:
B.Survey Questions
5. How or where did you purchase your product?
Retail Store
Wholesale Store
Superstore
Catalog
Direct Mail Flyer
Gift/Someone Else Purchased
6. Please rate your purchasing experience:
7. Would you purchase another one of our products through the same means?
8. Please rate the people that you dealt with in purchasing your product on a 5 point scale where 1 means excellent service and 5 means poor service.
9. Why did you purchase this product?
10. Please rate the people that you dealt with in purchasing your product on a 5 point scale where 1 means excellent service and 5 means poor service.
11. Which of the following features do you like the least about the product? (Choose 3)
Feature 1
Feature 2
Feature 3
Feature 4
Feature 5
Feature 6
12. Were your expectations of the product met?
13. If you answered "No" to question #12, please explain:
14. How would you say that the product has meet your expectations.
15. Would you recommend this product to someone else?
16. How much did you pay for your product (not including tax)?
17. Did you have any coupons or receive any kind of discount?
18. How did the product's pricing compare to your expectations?
19. How did the product pricing compare to other similar products that you know of?
Thank you for participating in our survey. We appreciate your input and will use this information to improve our products and our service to our valued customers.
After submitting your responses, you will be automatically taken to a page where you may print a $5.00 coupon for use towards your next purchase with ABC Company.
