Customer Survey Form is one of the ways, that a company garners information about the customer. Each company caters to a specific kind of clientele. This clientele has specific set of likes and dislikes. The companies use the Customer Survey form to actually find out what the clientele feels about the company. In most of the cases, the Customer survey form is kept towards the exit of the company office to ensure that the customers leaving the office can fill up the Customer Survey form and give their valued feedback.

Customer Survey Form Sample

1. How are you associated with the Company XYZ?

a. First timer Customer

b. Satisfied Customer

c. Prospect

d Disappointed Customer

2. Kindly specify which product you used.

3. Did the product bought by you match up to your expectations?

a. Yes

b. No

c. In case of others, please specify…..

4. Would you recommend this product to others?

a. Yes

b. No

5. Would you like to use the product again?

a. Yes

b. No

c. Not Sure

d. In case of others, please specify

6. Would you use similar products of other brands?

a. yes

b. No

c. Not Sure

d. In case of any other reason, please specify….

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