This is a sample survey created for research purpose.

Dear Sir/Madam:

As the president of [COMPANY], I want to thank you for buying our product. Please help us better understand your needs by completing the survey below. Thank you for your time.

Sincerely,

[MANAGER NAME]

President

How long have you used [PRODUCT]?

How often do you use [PRODUCT]?

Once a week or more often

2 to 3 times a month

Once a month

Every 2-3 months

2-3 times a year

Once a year or less often

Do not use

Overall, how satisfied are you with [PRODUCT]?

Very Unsatisfied

Unsatisfied

Somewhat Satisfied

Very Satisfied

Extremely Satisfied

Compared to other [PRODUCT CATEGORY] that are available, would you say that [PRODUCT] is:

Will you use/purchase [PRODUCT] again?

How likely are you to recommend [PRODUCT] to others?

Definitely will recommend

Probably will recommend

Not sure

Probably will not recommend

Definitely will not recommend

Never Used

Based on your experience with [PRODUCT], how likely are you to again buy a [Company Product]?

If you have contacted [COMPANY] customer service, were all problems resolved to your complete satisfaction?

Yes, by the company or its representatives

Yes, by me or someone outside the company

No, the problem was not resolved

No problems/No contact with customer service

What would you like to tell [COMPANY] about your satisfaction with [PRODUCT] that was not already asked in the survey?