Feedback Form

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Customer Care Satisfaction Survey

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Date *

Customer Account Name: *

Name of Person Completing Survey: *

Phone:

Please select the survey type you are filling out in order to populate the correct questions: *

Post Sales Call

Post Service Call

1. Was the equipment delivered on time when requested? *

Yes

No

2. Was the equipment installed to your satisfaction? *

Yes

No

3. Are the networked Features operating to your satisfaction? *

Yes

No

4. Was the installation and networking completed in a timely manner? *

Yes

No

5. Does your new solution meet your meet your expectations? *

Yes

No

6. Did your Account Executive accurately represent the new solution? *

Yes

No

7. Were the functions of the machine explained and demonstrated to you? *

Yes

No

8. Overall, how satisfied are you regarding your sales experience? *

Yes

No

9. Would you recommend / refer our business to others? *

Yes

No

If 'yes,' who should we contact? If 'no,' please elaborate. *

10. What suggestions do you have for us to better serve your needs? *

1. Did the automated dispatching system take your call? *

Yes

No

2. Were you notified by your field engineer within 1 hour after placing the service call? *

Yes

No

3. Did the field engineer handle the equipment problem to your satisfaction? *

Yes

No

4. Did the field engineer maintain a clean work space during the service call? *

Yes

No

5. Did the field service engineer leave your equipment and the surrounding area clean? *

Yes

No

6. Did the field engineer leave your equipment in good operating condition? *

Yes

No

7. Did the field engineer review the diagnosis and repairs before leaving? *

Yes

No

8. Overall, how satisfied are you regarding our service in responding to your call? *

Yes

No

9. Would you recommend / refer our business to others? *

Yes

No

If 'yes,' who should we contact? If 'no,' please elaborate. *

10. What suggestions do you have for us to better serve your needs? *

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