Customer Satisfaction Sample Survey 2011
This sample survey shows a segment of the question format for Customer Satisfaction Surveys including
Brand Loyalty
and
Net Promoter Scoreâ„¢
questions. Specific product questions can be added as required.
Email:
(
Required
)
Title:
Mr
Ms
Dr
First Name:
Last name:
Company:
Please rate your
overall level of satisfaction
with the following attributes of
XXXXXXXXXXX Products
.
Attributes
Not at all Satisfied
2
Neutral
4
Extremely Satisfied
DOES NOT APPLY
Breadth of product line
Availability of products
Product quality
Product innovation
Customer service (Sales Team)
Equipment service/Repair (Sales Team)
Clinical data on the product
Complaint resolution
Product delivery within 24 hours
Sales rep relationship
Clinical training/Education
Overall value as a combination of performance and cost
How likely are you to
CONTINUE USING XXXXXXXX products
?
Not at all Likely
2
Neutral
4
Extremely Likely
Based on your overall experience with
XXXXXXX products
, how likely are you
TO RECOMMEND
to an associate or colleague that they use
XXXXXXXX products
?
Not at all Likely
2
3
4
5
6
7
8
9
Extremely Likely
George Walck & Associates Pty Ltd
Net Promoter, NPS, and Net Promoter Score are trademarks of Satmetrix Systems, Inc., Bain & Company, and Fred Reichheld
Exam Reports