LOGO - ABC Company
Customer Retention Survey

 
Dear Valued Customer:

Thank you for taking the time to participate in this survey. To insure that your responses will be anonymous, imexSYS Marketing & Technology Consulting has been retained to conduct this survey, and an electronic format has been selected to facilitate your responses.

In appreciation of your time, ImexSYS will enter your email address into a random drawing for two complimentary tickets on XYZ Airlines for travel anywhere in the World. These tickets will be valid for one year from date of issuance.

Thank you, again, for your participation and your ongoing confidence in ABC products and services!

Sincerely,

Susan Martin
President
ABC Company

Instructions:
1. Select the one item in each of the two questions below that best describes you, then proceed to the survey questions by clicking on the Next Page button.

2. After reaching the survey questions, please read each of the survey questions completely. Then, indicate your response using the scale shown.

3. After answering the survey questions, please click on the FINISH button to submit your answers for processing.

Your Gender?       Your Age?
Male       Under 18 18 to 25 26 to 35 over 65
Female       36 to 45 46 to 55 56 to 65

  Strongly
Disagree		 Moderately
Disagree		 Slightly
Disagree		 Strongly
Agree		 Moderately
Agree		 Strongly
Agree		 N/A
1. I do not have any reason to try a competing product.
2. I have contemplated moving my business to another company.
3. I am satisfied with the product mix.
4. My representative is knowledgeable about my business.
5. My representative is respectfull and fair.
6. I receive timely information about the product.
7. Appointments are available in a reasonable time frame.
8. Scheduled appointments are always kept.



9. Please name one specific area in which you believe the company excels.

10. Please name one specific area in which you would like to see improvement

Do You Have Any Additional Comments For Us?
   

Conducted By imexSYS Marketing & Technology Consulting, Inc.