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How Did We Do? ... Client Feedback Form

Dear Valued Client:
Thank you for your business. Maintaining a high quality of products and services is very important to us so that we can serve you better. Your help in this process is greatly appreciated.


Privacy Policy:
We respect your privacy. Your feedback is anonymous unless you opt to include your company name and contact information in our evaluation form. All information provided via this form is completely confidential.


Select the Services provided to you:
 
Please rate our SERVICES & PRODUCTS using this scale.
 
Very
Dissatisfied
Somewhat
Dissatisfied
Satisfied Somewhat
Satisfied
Very
Satisfied
Not
Applicable
1 2 3 4 5 0
Very
Unimportant
Somewhat
Unimportant
Important Somewhat
Important
Very
Important
Not
Applicable
 
SERVICE
Rate 1 to 5 or 0:
How satisfied are
you with our...?
How important is
this to you?
     
Courtesy
Responsiveness
Friendliness
Contracts & Estimates
Communications
Meeting Deadlines
Meeting Budget(s)
     
FINAL PRODUCT
Rate 1 to 5 or 0:
How satisfied are
you with our...?
How important is
this to you?
     
Quality
Effectiveness
Meeting Your Expectations
Meeting Your Objectives
Value
Overall Product
 
Service / Product Comments
 
Partnering: Partnering means helping your business identify problems and opportunities, then proactively working together to create strategies and marketing initiatives. Do you have any comments on how we could help your business in this manner?
 
Do you anticipate using vebsite again? Yes No
» If yes, when? Within 2 months? Within 6 months?
Not Sure?
Would you recommend us to a friend or business associate? Yes No
 
General Comments
 
(Optional)
Company Name: E-mail:
Your Name: Tel #
Title:    
 
May we use your company, name &
comments as a reference?
Check to agree
 
Thank you for your time.
 

 
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