Customer Survey

2. How long did you have to wait before a Customer Service Representative attended to you via:
4. Phone

   1. 10 Seconds

   1. 30 Seconds

   1. 1 Minute

   1. Longer
6. In Person

   1. 10 Seconds

   1. 30 Seconds

   1. 1 Minute

   1. Longer
8. Other

   1. 10 Seconds

   1. 30 Seconds

   1. 1 Minute

   1. Longer
10. How long did it take to get a reply?
12. Phone

    1. Less than 1 Hour

    1. Same Day

    1. Within 3 Days

    1. Longer
14. In Person

    1. Less than 1 Hour

    1. Same Day

    1. Within 3 Days

    1. Longer
16. Other

    1. Less than 1 Hour

    1. Same Day

    1. Within 3 Days

    1. Longer
20. Was the Customer Service Representative Professional?

    1. Yes
    2. No
22. Were your questions answered?

    1. Yes
    2. No
24. When the Customer Service Representative did not know the answer, he/she researched it and got back to me right away.

    1. Yes
    2. No
26. How would you rate your experience overall?

    1. Great

    1. Good

    1. Fair

    1. Poor
28. Please list any other comments/suggestions to improve our Customer Service.
32. You may enter your name, but it is not required. We appreciate your comments.
    If you would like someone to contact you, please let us know the most convenient method and time of day.
34. Method of contact preferred:

    1. Telephone
    2. Email
    3. Postal Service

    1. Fax
    2. Meeting
    3. Other
36. Contact Information
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

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