Service Questionnaire
Filter Type:
*Required
* How was your overall experience doing business with us?
--- Select ---
Excellent
Good
Fair
Poor
* Who was your technician?
* What city are you located in?
Which of the following best describes the type of customer you are?
-------------------- Select --------------------
Home user
Small business (two to four computers)
Medium business (five to seven computers)
Large business (eight plus computers)
If you are a business customer, how many employees work for your business?
How many computers are at your location? (This question is for both business and residential clients)
How did you hear about us? (Choose all that apply)
Friend or colleague
Yellow pages
Fond du Lac Reporter
Mayville News
Our local website
Our national website
Direct mail flyer
Expo
Other (please specify)
Why did you choose our computer service?
What features are most important to you when choosing a computer service?
Inexpensive residental service
Inexpensive business service
Quality residential service
Quality business service
Prompt residental service
Prompt business service
Onsite support
Other (please specify)
Regarding our office staff:
How polite was our office staff?
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Very Polite
Somewhat Polite
Not Polite
How helpful was our office staff?
--- Select ---
Very helpful
Somewhat helpful
Not Helpful
Regarding your technician:
How polite was your technician?
--- Select ---
Very Polite
Somewhat Polite
Not Polite
How helpful was your technician?
--- Select ---
Very helpful
Somewhat helpful
Not Helpful
How would you rate the service that you received?
--- Select ---
Greatly exceeded my expectations
Slightly exceeded my expectations
Met my expectations
Fell slightly short of my expectations
Failed to meet my expectations
How did our service price compare to your expectations?
--- Select ---
More expensive than I expected
Met my price expectations
Less expensive than I expected
Do you plan to continue using our company in the future?
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Definitely
Maybe
Definitely Not
Would you recommend our company to someone else?
--- Select ---
Definitely
Maybe
Definitely Not
Do you have any recommendations to improve our service?
Please provide the following demographic information. It will only be used to make statistical comparisons between different groups of respondents: it will not be used to profile individual respondents.
What is your gender?
Male
Female
How old are you?
--- Select ---
Under 20
21 to 29
30 to 39
40 to 59
60 and over
We would like you to fill out this section, but it is optional. All clients that fill our this section will receive a $5.00 off coupon in the mail for their next service call. Only one coupon will be mailed per household.
Name:
Address:
City:
State:
Zip:
Email:
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