Give this form to customers when you want to get their opinion on your company's products and/or services.
Your Name:________________________________________
Your Address:______________________________________
What brought you to <business name>?
______________________________________________________________
What kind of business did you conduct: ________________________________________
________________________________________________________________________
How would you rate the friendliness and service of the people at <business name>?
Excellent ___ Good___ Fair___ Poor___
How would you rate the value of the <products/services> you purchased?
Excellent ___ Good___ Fair___ Poor___
Based on your experience, do you intend to continue as a customer of <business name>?
Yes___ No___
Is there anything else you would like to tell us about your experience with <business name>?
________________________________________________________________________
________________________________________________________________________
Thank you for your time.
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