1. Overall, how satisfied are you with your most recent experience with ‘Your Company Here’?
- Very Dissatisfied
- Neutral
- Very Satisfied
2. On a scale of 1 to 10 (10 being very likely), how likely is it that you use ‘YourCompanyName’ again in the future?
……………………………………… .
3. How would you rate your most recent visit to our ‘YourCompanyHere’ in the following categories:
Excellent Very Good Average Poor Unacceptable
- Polite and respectful employees
- The training of our employees
- Getting in and out quickly
4. When you first arrived, were you immediately greeted or acknowledged by an employee?
- Yes
- No
5. When did you last visit our store?
Sun Mon Tue Wed Thu Fri Sat
1
2
3
4
5
6
(mm/dd/yyyy)
6. What prompted you to visit our store?
- Newspaper Ad
- Print Ad
- Radio
- TV
- Banners
- Any Other?
7. About how long did it take from the moment you walked into ‘YourCompanyHere’ to the moment you left?
minutes
……………………………………………….. .
8. All things considered, over the next 12 months, how likely are you to go to another company for this service?
- Certain
- High chance
- 50-50
- Low chance
- Never
9. What about the service could be improved?
- Service can be faster/more efficient
- Employees could be friendlier
- Employees should communicate better with clients
- Store needs to be cleaner
- The location needs parking
- The location needs to be closer
- Other
Download Service Satisfaction Survey Questionnaire in Word Format