Customer-Satisfaction-Survey

Client Satisfaction Evaluation Form

We sincerely hope that you enjoyed doing business with Brockwell Incorporated. We are grateful if you would take a moment to share your thoughts on how we served you. In what areas did we excel, and/or in what areas could we improve? All feedback is appreciated and evaluated by the CEO. All responses are confidential. Thank you!

1.) How did you hear about Brockwell ?

i.e. Google, Social Media, A Friend, An Advertisement, Other

2.) Which product(s) did you purchase ?

3.) What was your primary reason for purchasing the product ?

4.) How likely is it that you would recommend Brockwell to a friend or colleague ?

5.) How responsive have we been to your questions & inquiries ?

Extremely Responsive Very Responsive Somewhat Responsive Not So Responsive Not At All Responsive

6.) Overall, how satisfied are you with our company ?

Very Satisfied Somewhat Satisfied Neither Satisfied Nor Dissatisfied Somewhat Dissatisfied Very Dissatisfied

7.) Which of the following words would you use to describe our products ?

SELECT ALL THAT APPLY

8.) How would you rate the quality of our products ?

9.) How satisfied were you with the following aspects of our company ?

( 1 ) = Very Unsatisfied -- ( 5 ) = Very Satisfied

Timeliness

Friendliness

Knowledgeability

Overall Experience

10.) Would you purchase our product(s) in the future ?

11.) What new products would you like to see Brockwell sell ?

12.) Do you have any other comments / questions / concerns / recommendations for us ?

Thank you for taking the time to give us your feedback!