Fill out our questionnaire

Customer Service Survey

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Customer Service Survey

This document is an online survey. Using a form and a CGI script, you can ask your users to fill out a questionnaire, gathering their opinions on a number of things. For a customer service department, topics could include things like the company's products and how long the users have worked with these products, or even their thoughts on how they find the customer service website. This allows you to get some more information about your users than just their email address and name.

1) Please tell us about yourself

Your First Name:
Your Last Name:
Position:
Company:
Location:
EMail:

Please put me on {YOUR COMPANY}'s email list for product updates.

Please do not distribute my name to email lists other than for {YOUR COMPANY}.


2) Please tell us about your use of {YOUR COMPANY's PRODUCT}

  • Where did you obtain your {YOUR PRODUCT}?

  • In which industry will you use {YOUR PRODUCT}? (Check all that apply)
    Defense
    Education
    Financial
    Advertising
    Hardware/Software Vendor
    Publishing
    Government
    Self-Employed
    Reseller/VAR
    Other (please specify):

3) Please tell us about your use of the World Wide Web

  • What browser do you usually use when working on the Web?

  • Is your primary Internet/Web connection:
    At work At home Other (please specify):

  • How much time per week do you spend on the Web?

  • The above time is spent (please check all that apply):
    Looking for information that pertains to your career
    Looking for information on commercial products/services
    Interacting with other people on the Internet (newsgroups, chat, etc)
    Researching academic topics
    Browsing for entertainment purposes

  • Have you ever purchased anything over the Internet/Web?
    Yes No

  • Do you worry about the security of monetary transactions over the Internet/Web?
    Yes No


Thank you for completing our marketing survey!

customernewbusiness
customerfaqbusiness
customerfeedbackbusiness
customerdownloadbusiness
customercompbusiness

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