Quality Assurance Survey
Survey Date
-
Month
-
Day
Year
Date
Company Name
Type of industry this company belongs to
Education
Health
Retail
Environment
Business
Government
Other
What are the products and services of the company?
How was your experience with the internal quality assurance team?
Do you know if the company has an external quality assurance team?
Please Selecti
Yes
No
Customer Service
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Friendliness
Courteous
Respectful
Oral Communication
Verbal Communication
Problem-solving skills
Empathy
Product/Service Knowledge
Time Management
Patience
Feedback/Comments/Suggestions for customer service
Products and services
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Quality
Stability
Design
Theme
Intangibility
Usability
User-friendly
Feedback/Comments/Suggestions for products and services
Delivery and Shipping
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Did the product arrive on time?
Is the courier respectful?
Did the courier call you prior to delivery?
Was the expectation met?
Feedback/Comments/Suggestions for delivery and shipping
How do you think our products and services can be improved?
Is there a product or service you are not satisfied with? If yes, please explain?
Rate the service
Products and Services
1
2
3
4
5
Customer Service
1
2
3
4
5
Shipping and Delivery
1
2
3
4
5
Overall Rating
1
2
3
4
5
Overall feedback or suggestions
Personal Information
Information about the person who fills up the survey
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Age
Gender
Male
Female
Occupation
Do you want to subscribe to our newsletter that contains updates and promos from our team?
Yes
No
Submit
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