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Customer Service Survey

	Date:
Customer Name:
Customer Title:
Company Name:
Customer Address:
City: State: ZIP:

Thinking about your most recent contact with Cherney Microbiological Services, how would you rate our employee's ability to help you or refer you to someone who could help you?
Excellent Very Good Good Fair Poor
How would you rate our employees' overall knowledge of your problem or question?
Excellent Very Good Good Fair Poor
How would you rate our employees' ability to help you resolve your issue or need?
Excellent Very Good Good Fair Poor
How would you rate our employees' willingness to assist you?
Excellent Very Good Good Fair Poor
How would you rate our firm as a whole in regard to service, integrity, technical expertise, and scientific knowledge?
Excellent Very Good Good Fair Poor
Please rate the following questions regarding both our technical performance and the importance of these services to you in the following five categories.
Performance: 5 = Excellent 4 = Very Good 3 = Good 2 = Fair 1 = Poor	Importance: 5 = Extremely Important 4 = Very Important 3 = Somewhat Important 2 = Slightly 1 = Not Important
How would you rate the quality of our work?
Performance:	Importance:
How would you rate our knowledge of methods in relations to your specific needs?
Performance:	Importance:
How would you rate our ability to recommend the appropriate testing method to resolve issues that you are experiencing?
Performance:	Importance:
How would you rate our turn around time for micro analysis?
Performance:	Importance:
How would you rate our turn around time for chemical analysis?
Performance:	Importance:
How would you rate our firm in regard to confidence in results?
Performance:	Importance:

Additional Comments:
Would you like customer service to contact you regarding this survey? Yes No
Phone Number:
Verification Code: Enter the two words below separated by a space.