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Customer Satisfaction Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What do you appreciate about our service/product?
Please select one option.
Quality
Customer service
Price
Convenience
Innovation
2
Quão satisfeito você ficou com nossa clinica ?
Please rate on a scale of 1 to 10.
3
What bothers you about our service/product?
Please provide details in the text box.
4
What features would you like to see improved?
Please provide details in the text box.
5
How likely are you to recommend our service/product to others?
Please select one option.
Very likely
Likely
Neutral
Unlikely
Very unlikely
6
How often do you use our service/product?
Please select one option.
Daily
Weekly
Monthly
Occasionally
Rarely
7
What can we do to improve your experience with our service/product?
Please provide details in the text box.
8
Are there any specific areas where you feel we excel?
Please select one option.
Product quality
Customer service
Innovation
Value for money
Convenience
9
Do you have any additional comments or suggestions for us?
Please provide details in the text box.
10
How can we communicate better with you?
Please provide details in the text box.
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