* 1. Business Name

* 2. How likely is it that you would recommend this company to a friend or colleague?

Not at all likely
Extremely likely

* 3. Overall, how satisfied or dissatisfied are you with our company?

* 4. Which of the following words would you use to describe our products? Select all that apply.

* 5. How well do our products meet your needs?

* 6. How would you rate the quality of the product?

* 7. How would you rate the value for money of the product?

* 8. How responsive have we been to your questions or concerns about our products?

* 9. How long have you been a customer of our company?

* 10. How likely are you to purchase any of our products again?

* 11. Do you have any other comments, questions, or concerns? (including additional work you wish to complete)