Customer Service Survey

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Customer Service Survey

Fill out our questionnaire

Please do not attempt to use this form at this time. This page is currently under construction

This document is an online survey. Using a form and a CGI script, you can ask your users to fill out a questionnaire, gathering their opinions on a number of things. For a customer service department, topics could include things like the company's products and how long the users have worked with these products, or even their thoughts on how they find the customer service website. This allows you to get some more information about your users than just their email address and name.

1) Please tell us about yourself

Your First Name:
Your Last Name:
Position:
Company:
Location:
EMail:

Please put me on {YOUR COMPANY}'s email list for product updates.

Please do not distribute my name to email lists other than for {YOUR COMPANY}.


2) Please tell us about your use of {YOUR COMPANY's PRODUCT}

  • Where did you obtain your {YOUR PRODUCT}?

  • In which industry will you use {YOUR PRODUCT}? (Check all that apply)
    Defense
    Education
    Financial
    Advertising
    Hardware/Software Vendor
    Publishing
    Government
    Self-Employed
    Reseller/VAR
    Other (please specify):

3) Please tell us about your use of the World Wide Web


Thank you for completing our marketing survey!

This document maintained by fraserrugs@aol.com.
Material Copyright © 2000 Harry M. Fraser Co.