Customer Satisfaction Survey Template

Top of Form

1.Overall, how satisfied or dissatisfied are you with our company?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

2.Which of the following words would you use to describe our products? Select all that apply.

Reliable

High quality

Useful

Unique

Good value for money

Overpriced

Impractical

Ineffective

Poor quality

Unreliable

3.How well do our products meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

4.How would you rate the quality of our products?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

5.How would you rate the value for money of our products?

Excellent

Above average

Average

Below average

Poor

6.How responsive have we been to your questions or concerns about our products?

Extremely responsive

Very responsive

Moderately responsive

Not so responsive

Not at all responsive

Not applicable

8.How likely are you to purchase any of our products again?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

9.How likely is it that you would recommend this company to a friend or colleague?

Not at all likely

Extremely likely

Not at all likely - 0

1

2

3

4

5

6

7

8

9

Extremely likely - 10

Please take a few moments to complete our product satisfaction survey. Your responses will help us to address any issues that you may have as well as to better target our products and services to meet your needs. Your responses will be kept confidential.This survey will take approximately __ minutes to complete.

1.How long have you used our product/service?

Less than 6 months

More than 6 months but less than 1 year

1-3 years

Over 3 years

Never used

2.How often do you use our product/service?

Once per week or more

2 to 3 times per month

Once per month

Less than once per month

3.Overall, how satisfied were you with our product/service?

5 - Very satisfied

4 - Somewhat satisfied

3 - Neither satisfied nor dissatisfied

2 - Somewhat dissatisfied

1 - Very dissatisfied

5.How satisfied are you with the following characteristics of our product/service?

5 - Very satisfied

4 - Somewhat satisfied

3 - Neither satisfied nor dissatisfied

2 - Somewhat dissatisfied

1 - Very dissatisfied

Quality

Price

Purchase experience

Installation or first use experience

Usage experience

After purchase service (customer service, etc.)

Repeat purchase experience

6.How important are the following characteristics when purchasing this type of product/service?

5 - Extremely important

4 - Very important

3 - Somewhat important

2 - Not very important

1 - Not at all important

Quality

Price

Purchase experience

Installation or first use experience

Usage experience

After purchase service (customer service, etc.)

Repeat purchase experience

7.Thinking of your most recent experience with our product/service, how much do you agree with the following statements?

5 - Strongly agree

4 - Somewhat agree

3 - Neither agree nor disagree

2 - Somewhat disagree

1 - Strongly disagree

Product/service was worth the purchase price

Product/service does what it claims

Product/service does what I need

Product/service is easy to use

Product/service is competitively priced

10.Thinking of similar products/services offered by other companies, how would you compare our product/service offered to them?

Much better

Somewhat better

About the same

Somewhat worse

Much worse

Dont know

11.Would you purchase our product/service again?

Definitely

Probably

Not sure

Probably not

Definitely not

13.Would you recommend our product/service to colleagues or contacts within your industry?

Definitely

Probably

Not sure

Probably not

Definitely not

Question 16

What is your gender?

Male

Female

Which category describes your age?

18 - 24

25 - 34

35 - 44

45 - 54

55 - 64

65 or above

What is your employment status?

Employed Full-Time

Employed Part-Time

Unemployed

Retired

Student

Prefer not to answer

Which category best describes your household income?

Under $20,000

$20,000 - $29,999

$30,000 $39,999

$40,000 $49,999

$50,000 $69,999

$70,000 $99,999

$100,000 $149,999

$150,000 or more

Prefer not to answer

What is the highest level of education you received?

High school or less

Trade or vocational school

Attended some college

Undergraduate college degree

Graduate degree

Prefer not to answer

Customer Satisfaction with Product/Service

Top of Form

Thank you for purchasing from [COMPANY]. Please take a moment to tell us about your experience and how well [PRODUCT] has been meeting your expectations.

Overall, how satisfied are you with [PRODUCT]?

Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

If you are dissatisfied, why?

How often do you use [PRODUCT]?

Daily

Several times a week

Once a week

Several times a month

Once a month

Several times a year

Once a year or less often

Do not use

Compared to alternative products that are available on the market, would you say that [PRODUCT] is...

Much better

Somewhat better

About the same

Somewhat worse

Much worse

Don't know

Will you continue buying [PRODUCT] in the future?

Definitely

Probably

Probably not

Definitely not

Not sure

Would you recommend [PRODUCT] to your friend or affiliate?

Definitely

Probably

Probably not

Definitely not

Not sure

Very

satisfied

SatisfiedNeutral

Dissatisfi

ed

Very

dissatisfi

ed

Overall

quality

Value for

the price

Purchase

experien

ce

Installati

on

experien

ce

Usage

experien

ce

After

purchase

service

How satisfied are you with [PRODUCT] regarding the

following items?