Sample Customer Satisfaction Survey

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Here is a sample on-line version of a Customer Satisfaction Survey.

When a business is surveyed their customers are given a link to access the survey.

é SAMPLE é
CUSTOMER SATISFACTION SURVEY

TOM'S DRIVING ACADEMY 

Welcome and thank you for choosing to complete a Customer Satisfaction Survey for Tom's Driving Academy.

As well as enabling this business to gain certification for ServiceStar Membership, your feedback will also help them to provide customers like you with the best possible levels of service.

Please answer the questions below. We will supply this business with a confidential report summarising the answers and comments from all the customers who completed a survey. If you would prefer your answers to be anonymous (i.e. not linked to your name) please indicate at the end of the survey.

Please note that your contact details are needed for validation purposes and for following up your comments if necessary. Once your answers are documented your details will be erased. Should you wish to receive communications from ServiceStar by email, including newsletters and updates of new ServiceStar listed businesses, please fill in your email address. Your E-mail address will not be passed on to any other organisation.

Your Name:

Your Phone Number:

Email Address (optional)

When did you last use this business?                                                       

Question 1. Satisfaction

How satisfied were you with the service you received from this business?
In answering, please consider factors such as reliability, timeliness, quality of the work performed, value for money and whether the final outcome met your expectations.

  Satisfied         Neutral           Dissatisfied  

Question 2. Loyalty
Are you likely to use this business again and/or recommend it to others?
 

  Yes                      Not Sure               No

Question 3. Your Comments
Please include here a short comment on your dealings with this business.

 

Would you prefer your answers and comments to be anonymous?          Yes      No

   

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