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Asking Questions - The Definitive Guide To Questionnaire Design ...

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226 ASKING QUESTIONS<br />

Figure 7.5. Illustration of a Client Evaluation Scale.<br />

MANAGEMENT SERVICES COMMENT CARD<br />

This survey asks your opinion about specific aspects of the service you<br />

received. Your individual responses will remain confidential and will be<br />

compiled with those of other customers to improve customer service.<br />

Please use the following scale to indicate the extent to which you agree<br />

with the statement. Circle one response for each item.<br />

1 = Strongly Disagree<br />

2 = Disagree<br />

3 = Neutral<br />

4 = Agree<br />

5 = Strongly Agree<br />

If you feel unable to adequately rate a specific item, please leave it blank.<br />

SERVICE/ATTITUDE<br />

When serving me, this person was helpful.<br />

1 2 3 4 5<br />

This person was cooperative in meeting my requests.<br />

1 2 3 4 5<br />

This person was accurate.<br />

1 2 3 4 5<br />

This person was pleasant.<br />

1 2 3 4 5<br />

This person represents the company well.<br />

1 2 3 4 5<br />

CUSTOMER SATISFACTION<br />

How would you rate your overall level of satisfaction with the service you have<br />

received?<br />

1 = Very dissatisfied<br />

2 = Dissatisfied<br />

3 = Neutral<br />

4 = Satisfied<br />

5 = Very Satisfied<br />

What specifically could be done to make you more satisfied with the service?

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