LOGO - ABC Company
Customer Satisfaction 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. The staff was courteous
2. The staff was knowledgeable.
3. The staff showed up on time.
4. I did not have to wait long for an appointment.
5. My scheduled appointments was kept.
6. I received clear information from the staff.
7. Overall it was a very satisfying experience.
8. I would recommend your company to others.

Do You Have Any Additional Comments For Us?
   

Conducted By imexSYS Marketing & Technology Consulting, Inc.