Customer Satisfaction Survey Template

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

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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

High quality

Useful

Unique

Good value for money

Overpriced

Impractical

Ineffective

Poor quality

Unreliable

3. How well do our products meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

4. How would you rate the quality of our products?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

5. How would you rate the value for money of our products?

Excellent

Above average

Average

Below average

Poor

6. How responsive have we been to your questions or concerns about our

products?
Extremely responsive

Very responsive

Moderately responsive

Not so responsive

Not at all responsive

Not applicable

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

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all likely

9. How likely is it that you would recommend this company to a friend or

colleague?
Not at all likely
Extremely likely
No
1

Extremely likely - 10

t at all
likely
-0

Please take a few moments to complete our product satisfaction

survey. Your responses will help us to address any issues that you
may have as well as to better target our products and services to
meet your needs. Your responses will be kept confidential.
This survey will take approximately __ minutes to complete.

1. How long have you used our product/service?

Less than 6 months

More than 6 months but less than 1 year

1-3 years

Over 3 years

Never used

2. How often do you use our product/service?

Once per week or more

2 to 3 times per month

Once per month

Less than once per month

3. Overall, how satisfied were you with our product/service?

5 - Very satisfied

4 - Somewhat satisfied

3 - Neither satisfied nor dissatisfied

2 - Somewhat dissatisfied

1 - Very dissatisfied

5. How satisfied are you with the following characteristics of our product/service?
5 - Very
satisfied

3 - Neither
4 - Somewhat
satisfied nor
satisfied
dissatisfied

2 - Somewhat 1 - Very
dissatisfied
dissatisfied

Quality
Price
Purchase
experience
Installation or first
use experience
Usage experience
After purchase
service (customer
service, etc.)
Repeat purchase
experience

6. How important are the following characteristics when purchasing this type of product/service?
5 - Extremely
important
Quality

4 - Very
important

3 - Somewhat 2 - Not very

important
important

1 - Not at all
important

Price
Purchase
experience
Installation or first
use experience
Usage experience
After purchase
service (customer
service, etc.)
Repeat purchase
experience

7. Thinking of your most recent experience with our product/service, how much do you agree
with the following statements?
5 - Strongly
agree

3 - Neither
4 - Somewhat
agree nor
agree
disagree

2 - Somewhat 1 - Strongly
disagree
disagree

Product/service
was worth the
purchase price
Product/service
does what it
claims
Product/service
does what I need
Product/service is
easy to use
Product/service is
competitively
priced

10. Thinking of similar products/services offered by other companies, how would

you compare our product/service offered to them?

Much better

Somewhat better

About the same

Somewhat worse

Much worse

Dont know

11. Would you purchase our product/service again?

Definitely

Probably

Not sure

Probably not

Definitely not

13. Would you recommend our product/service to colleagues or contacts within your industry?

Definitely

Probably

Not sure

Probably not

Definitely not

Question 16
What is your gender?
Male
Female
Which category describes your age?
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or above
What is your employment status?
Employed Full-Time
Employed Part-Time
Unemployed
Retired
Student
Prefer not to answer
Which category best describes your household income?
Under $20,000
$20,000 - $29,999
$30,000 $39,999
$40,000 $49,999
$50,000 $69,999
$70,000 $99,999

$100,000 $149,999
$150,000 or more
Prefer not to answer
What is the highest level of education you received?
High school or less
Trade or vocational school
Attended some college
Undergraduate college degree
Graduate degree
Prefer not to answer
Customer Satisfaction with Product/Service
Thank you for purchasing from [COMPANY]. Please take a moment to tell us about
your experience and how well [PRODUCT] has been meeting your expectations.
Overall, how satisfied are you with [PRODUCT]?
Very satisfied

Satisfied

Neutral

Dissatisfied

Very dissatisfied

If you are dissatisfied, why?

How often do you use [PRODUCT]?

Daily

Several times a week

Once a week

Several times a month

Once a month

Several times a year

Once a year or less often

Do not use

Compared to alternative products that are available on the market, would you say that [PRODUCT
Much better

Somewhat better

About the same

Somewhat worse

Much worse

Don't know

Will you continue buying [PRODUCT] in the future?

Definitely

Probably

Probably not

Definitely not

Not sure

Would you recommend [PRODUCT] to your friend or affiliate?

Definitely

Probably

Probably not

Definitely not

Not sure