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1. In the past year, which of the following [Company Name] products/services have you used? Please select all that apply
2. How long have you used [Company Name] products/services?
3. How often do you use [Company Name] products/ services?
4. How would you rate your overall experience with [Company Name]?
5. Please explain the reason(s) for your overall experience rating:
6. Overall, how satisfied are you with the following products/services?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
N/A
[Product/Service Option 1]
[Product/Service Option 2]
[Product/Service Option 3]
[Product/Service Option 4]
7. How valuable are each of the following [Company Name] products/services to you?
Very valuable
Valuable
Neutral
Not valuable
Not at all valuable
N/A
[Product/Service Option 1]
[Product/Service Option 2]
[Product/Service Option 3]
[Product/Service Option 4]
8. Please indicate how much you agree with the following statements about [Company Name]:
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
N/A
Provides the products and services that I require now
Provides products and services that will meet my needs in the future
Understands my needs
Delivers products and services on time
Delivers products and services on budget
Provides customer support that meets my needs
Resolves problems when they occur
9. What do you like most about [Company Name]?
10. What do you like least about [Company Name]?
11. If we could do one thing to improve [Company Name], what would it be?
12. Thinking of other companies that offer the same products/services as [Company Name], how would you compare [Company Name] to other companies?
13. Please share any comments regarding your comparison rating:
14. Will you use [Company Name] products/services in the next 3 months?
15. Please share any comments regarding your usage plans:
16. Would you recommend [Company Name] product/services to colleagues or contacts within your industry / friends and family / social networks?
17. Please share any comments regarding your willingness to recommend [Company Name]:
This survey is almost complete. These last few questions are for classification purposes to help us analyze survey responses.
18. What is your gender?
19. What is your age?
20. What is your employment status?
21. What is your combined annual income?
22. What is the highest level of education you completed?
Thank you!

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