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Customer Satisfaction Questionnaire

Basic data
Customer (address, contact):
Product (type, year of production, S/N):
Term of purchase (demand in case of unsuccessful purchase):  / 
How many TOS VARNSDORF machines do you have?
this is first product
I have more product                 Total count of TOS VARNSDORF machines
unsuccessful purchase of product
Customer evaluation

State the numeric value of scale 1–5 (1 = definitely, 5 = in no case)

Are you satisfied? Importance of this criterion
Technical parameters of product 1 2 3 4 5 1 2 3 4 5

Commentary
Balance „Price/Utility value„ of product 1 2 3 4 5 1 2 3 4 5

Commentary
Speed and completeness of service 1 2 3 4 5 1 2 3 4 5

Commentary
Assortment of offered products, services 1 2 3 4 5 1 2 3 4 5

Commentary
Attitude of manufacturer / agent 1 2 3 4 5 1 2 3 4 5

Commentary
Feedback to your demands a reminders 1 2 3 4 5 1 2 3 4 5

Commentary
Evaluated by: (name / position / date): , , 
Your e-mail
General evaluate, recommendation, others perception:

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中文 > 联系方式 > Customer Satisfaction Questionnaire