Customer Information |
|
Name:
|
|
|
|
Address Line 1:
|
|
|
|
Address Line 2:
|
|
|
|
City:
|
|
|
|
State:
|
|
|
|
ZIP Code:
|
|
|
|
Phone Number:
|
|
|
|
E-mail Address:
|
|
|
Purchase Experience |
| Yes No |
|
Did you recently purchase something from Associated Appliance? |
If Yes, then rate the following questions using a 1–5 scale:
5 = Excellent, 4 = Good/Excellent, 3 = Good, 2 = Fair, 1 = Poor, N/A = Not Applicable
|
| 5 |
4 |
3 |
2 |
1 |
N/A |
|
|
|
|
|
|
|
|
|
|
How would you rate the attention and professional knowledge of our sales staff?
|
|
|
|
|
|
|
|
|
How would you rate the selection of our products?
|
|
|
|
|
|
|
|
|
How would you rate the convenience of our store hours?
|
|
|
|
|
|
|
|
|
How would you rate the timeliness of your delivery?
|
|
|
|
|
|
|
|
|
How would you rate the professionalism of your delivery personnel?
|
|
|
|
|
|
|
|
|
How would you rate your overall experience and comfort in shopping with us?
|
|
|
|
|
|
|
|
|
How would you report your overall experience with us to your friends and family?
|
Service Call Experience |
| Yes No |
|
Did you recently receive a service call from Associated Appliance? |
If Yes, then rate the following questions using a 1–5 scale:
5 = Excellent, 4 = Good/Excellent, 3 = Good, 2 = Fair, 1 = Poor, N/A = Not Applicable
|
| 5 |
4 |
3 |
2 |
1 |
N/A |
|
|
|
|
|
|
|
|
|
|
How would you rate the timeliness of our response to your initial inquiry?
|
|
|
|
|
|
|
|
|
How would you rate the timeliness of our service call to your initial inquiry?
|
|
|
|
|
|
|
|
|
How would you rate the courteousness of our service personnel?
|
|
|
|
|
|
|
|
|
How would you rate the knowledge and skill of our service personnel?
|
|
|
|
|
|
|
|
|
How would you rate the professionalism and appearance of our service personnel?
|
|
|
|
|
|
|
|
|
How would you report your overall experience with us to your friends and family?
|
|
|
|
How many visits were required to complete your service needs?
|
Additional Comments |
| Comments: |
|
|
|
