Name:

Email:

Company:

Phone:

1. How long have you been a client with us?

• Less than 6 months

• 6 months to 1 year

• 1 to 2 years

• More than 2 years

2. Which of our products/services do you use? (Check all that apply)

• Product A

• Service B

• Product C

• Service D

• Other (please specify): 

3. Please rate your overall satisfaction with our products/services (On a scale of 1 to 5, with 5 being extremely satisfied)

• 1

• 2

• 3

• 4

• 5

4. What do you like the most about our products/services?

5. How have our products/services benefited your business?

6. Have you encountered any challenges while using our products/services? If so, please describe.

7. How responsive is our customer support team when you have questions or issues? (On a scale of 1 to 5, with 5 being extremely responsive)

• 1

• 2

• 3

• 4

• 5

8. Would you recommend our products/services to others?

• Yes

• No

9. Please provide a brief testimonial about your experience with our products/services.

10. Do we have your permission to use your testimonial for marketing purposes?

• Yes, you have my permission to use my testimonial.

• No, I prefer to keep my testimonial private.

11. Additional Comments or Suggestions: