Sample User Questionnaire

June 29, 2011

A sample user questionnaire allows having an idea as to what does a user think or feel about a certain product or service. This helps the company/organization to make the necessary changes, if needed, or continue with the particular pattern for either the product or the service. These questionnaires can be helpful in more than one ways to the company/organizations.
Sample User Questionnaire
Name: ______________________________________________
Address: ____________________________________________
Phone number: _______________________________________
Email address: ________________________________________
(Please tick in front of the right options wherever provided with choices)
1. How often do you visit this store/supermarket?
a. Every alternate day
b. Once a week
c. Once a fortnight
d. Once a month
e. Once a year
2. Have you been recommended to visit this store/supermarket?
a. Yes
b. No
3. If yes, please specify the details ___________________________________
4. How do you feel about the customer service at the store/supermarket?
a. Very satisfied
b. Moderately satisfied
c. Unsatisfied
5. If moderated satisfied or unsatisfied, what was that didn’t meet your expectations?
________________________________________________________________________
6. Are you happy with the quality of products the store has?
a. Yes
b. No
7. If no, what do you feel is lacking or not up to the mark?
________________________________________________________________________
8. What do you feel about the working hours of the store?
________________________________________________________________________
9. Would you be interested in submitting questions about the store online?
a. Yes
b. No
10. Would you like to buy things from our store online?
a. Yes
b. No
11. Please list down your suggestions for improvement of the store below.
______________________

Download Sample User Questionnaire in Word Format

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