FEEDBACK - RATE THE SERVICE OF GROUND WATER PRACTITIONERS

A completed client feedback form enables our company to know what clients think about our services. Clients are the reason why we stay in business. Your input is important to us as it helps us to uplift our standards and take corrective measures in areas that are not up to client expectations.

SECTION 1

Please give us your comment on your experience with our company.
Please answer YES or NO in the spaces provied to the questions below.

1. Did our staff acknowledge and serve you with urgency?

2. Did the staff involved treat you in a polite manner?

3. Did our staff assist you in getting the information you wanted?

4. Did our staff fix the problem?

What could we have done better?

If you answered any of the statements above (NO), please provide details in the space below to enable us improve our services

SECTION 2

1. How long have you used our product/service?
	Less than 6 months
	More than 6 months but less than 1 year
	1 - 3 years
	Over 3 years
	Never used

2. How often do you use our product/service?
	Once per week or more
	2 to 3 times per month
	Once per month
	Less than once per month

3. Overall, how satisfied were you with our product/service?
	5 - Very satisfied
	4 - Somewhat satisfied
	3 - Neither satisfied nor dissatisfied
	2 - Somewhat dissatisfied
	1 - Very dissatisfied


4. Please tell us why you feel that way:

5. How satisfied are you with the following characteristics of our product/service?
	5 - Very Satisfied	4 - Somewhat Satisfied	3 - Neither Satisfied nor Disatisfied	2 - Somewhat dissatisfied	1 - Very dissatisfied
QUALITY
PRICE
PURCHASE EXPERIENCE
INSTALLATION OR FIRST USE EXPERIENCE
USAGE EXPERIENCE
AFTER PURCHASE SERVICE (CUSTOMER SERVICE ETC.)
REPEAT PURCHASE EXPERIENCE

6. How important are the following characteristics when purchasing this type of product/service?
	5 - extremely important	4 - very important	3 - somewhat important	2 - not very important	1 - not at all important
QUALITY
PRICE
PURCHASE EXPERIENCE
INSTALLATION OR FIRST USE EXPERIENCE
USAGE EXPERIENCE
AFTER PURCHASE SERVICE (CUSTOMER SERVICE ETC.)
REPEAT PURCHASE EXPERIENCE


7. What do you like about our product/service:

Please fill in your information if you do not mind being contacted by one of our representatives
Name
E-mail
Telephone

Give us a chance to answer any questions you may have (click here)

Tel: +27 13 661-1300/1/2

Fax: +27 13 661-1304

Physical Address

Ground Water
Witbank Road
Sundra
Mpumalanga
South Africa

Postal Address

P.O.Box 107
Sundra
2200
Mpumalanga
South Africa

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