Customer Satisfaction Survey

The following brief survey will take no more than 5 minutes and will help us provide the best possible service. We thank you for your time and appreciate your feedback.

1) Overall, how satisfied are you with your relationship with Aquaserv?

 Extremely SatisfiedModerately SatisfiedNeither Satisfied
Nor Dissatisfied
Moderately DissatisfiedExtremely Dissatisfied
ResponsivenessExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied
ProfessionalismExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied
FriendlinessExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied

2) How satisfied are you with our On-Time Delivery?

Extremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied

3) How satisfied are you with our Administrative Services?

 Extremely SatisfiedModerately SatisfiedNeither Satisfied
Nor Dissatisfied
Moderately DissatisfiedExtremely Dissatisfied
E-mail ConfirmationsExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied
Billing/InvoicingExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied
Accounts ReceivableExtremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied

4) Please rate your Overall Customer Satisfaction.

Extremely SatisfiedModerately SatisfiedNeither Satisfied Nor DissatisfiedModerately DissatisfiedExtremely Dissatisfied

5) Please feel free to provide any additional feedback or concerns:

6) What products do you currently purchase from Aquaserv?*:
* Required Field

7) Feel free to provide your company's contact information:

Name:
Company:
Address:
City:
State:
Zip Code:
Email:
Phone:

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