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Questions marked with a * are required Exit Survey
 
 
* Please rate the quality of service you received
 
Very Poor
 
Somewhat Unsatisfactory
 
About Average
 
Very Satisfactory
 
Superior
 
 
 
The process of getting my problem resolved was:
 
Very Poor
 
Somewhat Unsatisfactory
 
About Average
 
Somewhat Satisfactory
 
Very Satisfactory
 
 
 
The Customer Service Representative was courteous:
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
 
 
Which of the following qualities of the service representative stood out (as being superior):
 
Patient
 
Enthusiastic
 
Attentive
 
Friendly
 
Responsive
 
Other
 
 
 
 
The customer service representative handled my call quickly:
 
Strongly Agree
 
Somewhat Agree
 
Neutral
 
Somewhat Disagree
 
Strongly Disagree
 
 
 
* The representative who I spoke with was:
 
 
 
Comments/Suggestions:
   
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address :