Survey

A web form to collect, report, and export any kind of data.

First, tell us about you.
First Name:*
Last Name:*
E-mail Address:*
What is your age?*
What is your gender?*	Male Female
How long have you been a user of our products?*	Less than 1 year 1-2 years 3-5 years More than 5 years

Now, let us know how we are doing.
In your experience, has there been any change in the level of customer service quality since first becoming our customer?*

Please rate your satisfaction on the following statements, according to your experience with the person who assisted you.

My order was processed accurately.*

When I had a question, the Customer Service Rep answered my questions promptly.*

The Customer Service Rep was well versed about our products.*

The Customer Service Rep gave helpful tips regarding the details of my order and the products ordered.*

When the Customer Service Rep did not know the answer to a question, he/she researched the answer and responded back to me in a timely manner.*

When I made a change to my order, the change was processed quickly and correctly.*

The Customer Service Rep maintained a positive attitude and professionalism at all times.*

The Customer Service Rep demonstrated initiative and tenacity in resolving any problems encountered.*

To prevent spam, please tell us: What is the sum of three and nine?*

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Email:*
To prevent spam, please tell us: What is four added to five?*

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