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Data Field Form (copy)
user name
*
email
*
Did our product or service meet your expectations?
yes
no
The customer service representative handled my call quickly
*
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Out of the following list of attributes, which do you feel the customer service employee possessed? Please select all that apply
*
Patience
Enthusiasm
Knowledagable
Friendliness
Responsive
Understanding
Other
Knowledge of the product
*
Poor
Fair
Good
Very Good
Excellent
N/A
Any questions or comments:
*
Star Rating
SignaturePad
Save
Clear
How did you pay for the seminar?
*
Personal funds
Company paid
Personal gift
Other
How likely are you to refer this seminar to your friend or colleague?
*
Very unlikely
Unlikely
Neutral
Likely
Very likely
Did you make the decision to attend the seminar?
*
Yes
No my organization sent me
What were your criteria for selecting to attend this particular seminar?
*
Date
Seminar City
Hotel Location
Other
How did you pay for the seminar?
*
Personal funds
Company paid
Personal gift
Personal gift
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