Customer Satisfaction Survey Template

Customer Satisfaction Survey
You are important to us and we appreciate your feedback .
Kindly fill this form below

NAME: *

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Contact Number:*

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Account no:*

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Email address:*

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Date: (dd/mm/yyyy)*

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Questionarre

1. How do you rate payment service used by NARUWASCO? (from 1 to 10)*

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2.How do you rate quality of water you receive form NARUWASCO ? (from 1 to 10)*

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3.How are the complains response?*

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4. How is the overall image of NARUWASCO?*

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5. Which are the areas you suggest NARUWASCO to improve on?*

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Part 2/4: Service Assessment
Kindly fill this part to ensure our consistent Improvement in service provision

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

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How would you rate the quality of the website? (from 1 to 10)*

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Part 4/4: Additional Feedback
If not satisfied, We would appreciate any other comment/suggestions/compliments from you

Do you have any other comments, questions, or concerns?

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