eds bits: web design and more

Abbreviated Sample Customer Survey

Introduction and Instructions

Thank you for your ongoing support of our business over the years. We are in the process of evaluating our business, and your feedback is essential to that process.

Please fill this form out completely, to the best of your ability. Should you have any questions, please contact Joe Smith, at 425.555.1234.

This survey takes an average of 5 minutes to complete. All surveys must be completed by the end of the day Wednesday, March 6, 2005.

Thank you for your participation.

Current Offerings

1. Have you participated in any of our services
in the past 24 months?

Yes (if yes, complete questions 2 - 6)
No (if no, please skip to question 7)

2. Approximately how many times have you made
a purchase from us in the past 24 months?

3. How many years have you been a client of ours?

4. Please rate our current offerings on the following criteria:

	Excellent	Above Average	Average	Below Average	Poor
Reliability:
Quality:
Ease of use:
Convenience:
Flexibility to do the job you need:


5. Please rate which features are most important to you:
	Critical	Very Important	Somewhat Important	Not Important
Portability:
Weight:
Color:
Resale value:
Documentation:
Accessories:

Future Enhancements and Offerings

We are considering a number of enhancements to our existing offerings, and also adding some completely new services. Please rate how important each of these enhancements and new services are to you.


6. Please rate the importance, to you, of the following possible enhancements to our existing offerings:
	Critical	Very Important	Somewhat Important	Not Important
Lighter weight:
Online documentation:
Free upgrades:
Other desired enhancements:


7. Please rate the likelihood of you to use each of the proposed future offerings:
	Very Likely	Somewhat Likely	Not Likely	Not Applicable
Carrying case:
Car adapter:
Waterproof model:
High altitude model:
Other desired offerings:

Comments and Feedback

8. Please add any comments or other feedback you may have here:

Current Offerings:

Future Offerings

General Information

9. Your name (optional):

10. Your e-mail address (optional):

11. Your Position (optional):