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Sample Customer Survey

Understanding why recent customers do not plan to return to a particular store, this survey addresses reasons for dissatisfaction and requests suggestions on how the store can improve.


Do you ever plan to return to this store?
Overall, please rate the quality of customer service that you received during this visit.
What were the main reasons for the poor quality of customer service? Please select all that apply.
Did you file a formal complaint regarding the customer service?
When was this complaint filed?
Did anyone from the store follow-up with you about the complaint?
Would you like a store representative to contact you?
Were you satisfied with the follow-up to your complaint?
Why weren't you satisfied with the follow-up to your complaint?
What is the highest level of education that you have achieved?
What was your household income last year?