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Company Name
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Department
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Year of Purchase
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Machine Details
Manager/Business Owner Name
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Machine/Asset Owner
*
User Name
*
User Mobile Number
*
How Long you have used our Product/Service?
*
Less than a Month
1-6 Months
1-3 Years
Over 3 Years
Over 10 Years
Are you currently using the product?
*
Actively Using
Not Often
Sparingly Using
In Breakdown
Scraped/Dumped
How often do you use Product/Service?
*
Daily
Once a Week
2-3 Times a Month
Once a Month
Very Rare
What aspect of the product you MOST satisfied by?
*
Quality
Price
Installation/Training
User Experience
Customer Service
All of Above
How do you rate our product against competition?
*
Much Better
Better
About the Same
Worse
Don't know
Satisfaction on project completion schedule?
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
N/A
Overall, how SATISFIED were you with the product?
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
N/A
What aspect of the product you disappointed?
*
Quality
Price
Installation/Training
User Experience
Customer Service
All of Above
How is your OVERALL Experience with us?
*
5
4
3
2
1
Would you RECOMMEND our product to others?
*
Definitely
Probably
Not Sure
probably Not
Definitely Not
Would you BUY our products in Future?
*
Definitely
Probably
Not Sure
Probably Not
Definitely Not
Will AMC/Calibration Services be helpful for you?
*
Yes
No
Comments for improvements or appreciation
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