Sample Client Satisfaction Survey (Place Company Name & Address here)

Name of Client: ______

How do you rate our…

Comments
1 / Overall quality of product /deliverable (consider factors such as appearance, finish, and ease of use) / Excellent / Good / Average / Below Average / Poor
2 / technical competence of our team / Excellent / Good / Average / Below Average / Poor
3 / professionalism in handling your requests / concern / Excellent / Good / Average / Below Average / Poor
4 / responsiveness in attending to your queries / Excellent / Good / Average / Below Average / Poor
5 / timeliness in delivery / Excellent / Good / Average / Below Average / Poor
6 / extent to which the deliverable match specifications / Excellent / Good / Average / Below Average / Poor
7 / Extent to which the deliverables meet your requirements (regardless of your answer to question 6 above) / Excellent / Good / Average / Below Average / Poor
8. What promoted you to select us:
9. Do the reasons that prompted you to select us still hold: YES / NO.
If NO, specify what is lacking
10. Have you found any thing positive in our services that you did not expect when you initially selected us
11. What can we do to improve our services further
12. How would you compare our services with any other vendor you deal with: BETTER / EQUAL / WORSE
Please explain
13. Would you come back to us for future requirements: YES / NO.
If NO, please explain why
14. Would you recommend our service to others? YES / NO.
If NO, please explain why
15. How do you rate us in terms of value-for-money / Excellent / Good / Average / Below Average / Poor
16. Our Overall Performance rating / Excellent / Good / Average / Below Average / Poor
17. Any other comments or observations you wish to make

______

Signature, Name and Designation: Date:

Of person filling up the form