Customer Satisfaction Questionnaire
Date of Survey: _______________________
Customer Company Name: ____________________________________________________
Customer Representative Name: _______________________________________________
Ask these questions as simply and directly as possible to easily get a yes, no or numerical answer. If additional notes are relevant, add them to the notes column to the right.
Additional comments or feedback from either the customer or person performing the survey in regards to the satisfaction of this customer and Integrity’s performance in meeting customer expectations: