CUSTOMER FEEDBACK QUESTIONNAIRE

PLEASE FILL IN ALL FIELDS AND TICK THE BOX THAT BEST DESCRIBES YOUR LEVEL OF SATISFACTION

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Organisation Name

Key Contact Name

Telephone Number

PRODUCTS AND SERVICES

	Very Satisfied 5	Satisfied 4	Neutral 3	Dissatisfied 2	Very Dissatisfied 1
Meeting your expectations for the service and products	Very Satisfied 5Meeting your expectations for the service and products Very Satisfied 5	Satisfied 4Meeting your expectations for the service and products Satisfied 4	Neutral 3Meeting your expectations for the service and products Neutral 3	Dissatisfied 2Meeting your expectations for the service and products Dissatisfied 2	Very Dissatisfied 1Meeting your expectations for the service and products Very Dissatisfied 1
Overall value for money	Very Satisfied 5Overall value for money Very Satisfied 5	Satisfied 4Overall value for money Satisfied 4	Neutral 3Overall value for money Neutral 3	Dissatisfied 2Overall value for money Dissatisfied 2	Very Dissatisfied 1Overall value for money Very Dissatisfied 1
On time delivery - Dependability and reliability	Very Satisfied 5On time delivery - Dependability and reliability Very Satisfied 5	Satisfied 4On time delivery - Dependability and reliability Satisfied 4	Neutral 3On time delivery - Dependability and reliability Neutral 3	Dissatisfied 2On time delivery - Dependability and reliability Dissatisfied 2	Very Dissatisfied 1On time delivery - Dependability and reliability Very Dissatisfied 1
Support and Assistance - Ease of access to support, response time to queries etc.	Very Satisfied 5Support and Assistance - Ease of access to support, response time to queries etc. Very Satisfied 5	Satisfied 4Support and Assistance - Ease of access to support, response time to queries etc. Satisfied 4	Neutral 3Support and Assistance - Ease of access to support, response time to queries etc. Neutral 3	Dissatisfied 2Support and Assistance - Ease of access to support, response time to queries etc. Dissatisfied 2	Very Dissatisfied 1Support and Assistance - Ease of access to support, response time to queries etc. Very Dissatisfied 1
Documentation - Accuracy, completeness and clarity	Very Satisfied 5Documentation - Accuracy, completeness and clarity Very Satisfied 5	Satisfied 4Documentation - Accuracy, completeness and clarity Satisfied 4	Neutral 3Documentation - Accuracy, completeness and clarity Neutral 3	Dissatisfied 2Documentation - Accuracy, completeness and clarity Dissatisfied 2	Very Dissatisfied 1Documentation - Accuracy, completeness and clarity Very Dissatisfied 1
General communications - E.g. appropriate information provided in a timely fashion	Very Satisfied 5General communications - E.g. appropriate information provided in a timely fashion Very Satisfied 5	Satisfied 4General communications - E.g. appropriate information provided in a timely fashion Satisfied 4	Neutral 3General communications - E.g. appropriate information provided in a timely fashion Neutral 3	Dissatisfied 2General communications - E.g. appropriate information provided in a timely fashion Dissatisfied 2	Very Dissatisfied 1General communications - E.g. appropriate information provided in a timely fashion Very Dissatisfied 1
Overall Satisfaction with service provided - flexibility, responsiveness, communications etc.	Very Satisfied 5Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Very Satisfied 5	Satisfied 4Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Satisfied 4	Neutral 3Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Neutral 3	Dissatisfied 2Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Dissatisfied 2	Very Dissatisfied 1Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Very Dissatisfied 1

Any further comments to improve our service or additional service requirements you may have?

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Layout

Organisation Name

Key Contact Name

Telephone Number

PRODUCTS AND SERVICES

	Very Satisfied 5	Satisfied 4	Neutral 3	Dissatisfied 2	Very Dissatisfied 1
Meeting your expectations for the service and products	Very Satisfied 5Meeting your expectations for the service and products Very Satisfied 5	Satisfied 4Meeting your expectations for the service and products Satisfied 4	Neutral 3Meeting your expectations for the service and products Neutral 3	Dissatisfied 2Meeting your expectations for the service and products Dissatisfied 2	Very Dissatisfied 1Meeting your expectations for the service and products Very Dissatisfied 1
Overall value for money	Very Satisfied 5Overall value for money Very Satisfied 5	Satisfied 4Overall value for money Satisfied 4	Neutral 3Overall value for money Neutral 3	Dissatisfied 2Overall value for money Dissatisfied 2	Very Dissatisfied 1Overall value for money Very Dissatisfied 1
On time delivery - Dependability and reliability	Very Satisfied 5On time delivery - Dependability and reliability Very Satisfied 5	Satisfied 4On time delivery - Dependability and reliability Satisfied 4	Neutral 3On time delivery - Dependability and reliability Neutral 3	Dissatisfied 2On time delivery - Dependability and reliability Dissatisfied 2	Very Dissatisfied 1On time delivery - Dependability and reliability Very Dissatisfied 1
Support and Assistance - Ease of access to support, response time to queries etc.	Very Satisfied 5Support and Assistance - Ease of access to support, response time to queries etc. Very Satisfied 5	Satisfied 4Support and Assistance - Ease of access to support, response time to queries etc. Satisfied 4	Neutral 3Support and Assistance - Ease of access to support, response time to queries etc. Neutral 3	Dissatisfied 2Support and Assistance - Ease of access to support, response time to queries etc. Dissatisfied 2	Very Dissatisfied 1Support and Assistance - Ease of access to support, response time to queries etc. Very Dissatisfied 1
Documentation - Accuracy, completeness and clarity	Very Satisfied 5Documentation - Accuracy, completeness and clarity Very Satisfied 5	Satisfied 4Documentation - Accuracy, completeness and clarity Satisfied 4	Neutral 3Documentation - Accuracy, completeness and clarity Neutral 3	Dissatisfied 2Documentation - Accuracy, completeness and clarity Dissatisfied 2	Very Dissatisfied 1Documentation - Accuracy, completeness and clarity Very Dissatisfied 1
General communications - E.g. appropriate information provided in a timely fashion	Very Satisfied 5General communications - E.g. appropriate information provided in a timely fashion Very Satisfied 5	Satisfied 4General communications - E.g. appropriate information provided in a timely fashion Satisfied 4	Neutral 3General communications - E.g. appropriate information provided in a timely fashion Neutral 3	Dissatisfied 2General communications - E.g. appropriate information provided in a timely fashion Dissatisfied 2	Very Dissatisfied 1General communications - E.g. appropriate information provided in a timely fashion Very Dissatisfied 1
Overall Satisfaction with service provided - flexibility, responsiveness, communications etc.	Very Satisfied 5Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Very Satisfied 5	Satisfied 4Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Satisfied 4	Neutral 3Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Neutral 3	Dissatisfied 2Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Dissatisfied 2	Very Dissatisfied 1Overall Satisfaction with service provided - flexibility, responsiveness, communications etc. Very Dissatisfied 1

Any further comments to improve our service or additional service requirements you may have?