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Client Satisfaction Form

Gauge how satisfied customers are with a product or service and spot improvement areas through star ratings and a few demographic questions.

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How often do you use this service/product?

Daily Weekly Monthly Rarely

Does the product/service help you to achieve your goals?

Yes Somewhat No

How would you improve the product/service?

Design

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Features

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Ease

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Price

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Availability

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

On a scale of 1 to 10, how satisfied are you with the product/service?

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

How old are you?

What is the highest level of education you have completed?

What is your gender?

What is your employment status?

What is your marital status?

Single Married Divorced Widowed

Do you have children?

Yes No

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