Customer Needs Survey Template

1. What is your age range?

The answer should be a single choice:

1. 18-24
2. 25-34
3. 35-44
4. 45-54
5. 55 and above

2. What is your gender?

The answer should be a single choice:

1. Male
2. Female
3. Other

3. What is your occupation?

The answer should be a single choice:

1. Full-time
2. Part-time
3. Self-employed
4. Retired
5. Student

4. How satisfied are you with the quality of our products?

The answer should be a single choice:

1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied

5. How often do you purchase our products?

The answer should be a single choice:

1. Daily
2. Weekly
3. Monthly
4. Rarely
5. First time

6. Have our products met your expectations?

The answer should be a single choice:

1. Yes
2. No
3. Somewhat

7. Would you recommend our products to your friends and family?

The answer should be a single choice:

1. Definitely
2. Likely
3. Neutral
4. Unlikely
5. No

8. How would you rate our customer service?

The answer should be a single choice:

1. Excellent
2. Good
3. Fair
4. Poor
5. Very Poor

9. Have you had any issues with our customer service?

The answer should be a single choice:

1. Yes
2. No

10. How satisfied are you with the speed of our service?

The answer should be a single choice:

1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied

11. How satisfied are you with the knowledge of our customer service representatives?

The answer should be a single choice:

1. Very Satisfied
2. Satisfied
3. Neutral
4. Dissatisfied
5. Very Dissatisfied

12. Do you have any suggestions for improvement?

The answer should be a multi line text input.

13. Would you like to provide any additional feedback?

The answer should be a multi line text input.