Thank you for giving us the opportunity to serve you.
Please help us serve you better by taking a couple of minutes to tell us about the service that you have received so far.
We appreciate your input and want to make sure we meet your expectations.
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First Name:
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Last Name:
Client ID (optional):
Email (optional):
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Counselor’s Name:
Chris Jefferson
Edgar Palencia
Junio Edme
Luis Castro
Luis Correa
Laura Taylor
Myra Gonzales
Natasha Andrews
Newsherly Charles
Pat Smith
Ryan Smart
Stephen Borge
Stephen Fotta
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1. In evaluating your most recent customer service experience, was the quality of the service you received:
Excellent
Satisfactory
About Average
Unsatisfactory
Poor
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2. Was the process for getting your problem resolved:
Excellent
Satisfactory
About Average
Unsatisfactory
Poor
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3. The customer service representative was very courteous.
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
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4. What about the quality of the service stands out as being superior?
Patient
Enthusiastic
Listened Carefully
Friendly
Responsive
Other:
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5. What about the representative could be improved?
No Improvement Needed
Unresponsive
Unfriendly
Didn’t Listen Carefully
Not enthusiastic
Impatient
Other:
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6. The customer service representative handled my call quickly:
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
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7. Did you encounter any of the following problems:
Spoke too slowly/too quickly/unclearly
Had to ask others for answers
Kept me waiting on hold
Did not know how to resolve the problem
Unable to explain properly
Gave me the wrong information
No improvement needed
Other:
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8. The customer service representative was very knowledgeable:
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
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9. The waiting time to speak to a representative was short:
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
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10. The time it took for my issue to be resolved was satisfactory:
Strongly Agree
Somewhat Agree
Neutral
Somewhat Disagree
Strongly Disagree
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11. Overall, how satisfied were you with our customer service department:
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Unsatisfied
Very Unsatisfied
12. If you were less than completely satisfied, what could have been done to serve you better:
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Indicates Response Required
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