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Customer Survey
Customer Satisfaction
Bill Number
Technician ID
(optional)
1.a.
Based on your experience or on what you heard from someone who placed the call, what is your overall level of satisfaction with the date proposed for the problem to be resolved?
1
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4
5
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7
8
9
10
1.b.
Add your comments for Question 1.
(optional)
2.
Was the repair completed on time as promised by Bell’s Repair Service ?
Yes
No
Repaired on
its own
Do Not Know /
No answer
3.a.
Based on your experience or on what you heard from someone who was present when the repair occurred, what is your overall level of satisfaction with the quality of service offered by the Repair technician(s)?
1
2
3
4
5
6
7
8
9
10
3.b.
Add your comments for Question 3.
(optional)
Customer Information
Name or Name of Company
Phone Number
-
-
Email
Validation
Bell Representative