Which of The Following Products and Services Applies To You? (Please Tick Any Appropriate Boxes)
Which of The Following Products and Services Applies To You? (Please Tick Any Appropriate Boxes)
Thank you for the business you have given us. In order for us to improve we are very keen to receive
your honest feedback regarding all aspects of our performance.
As we value your feedback so highly, we are conducting a survey that will only take a minute to complete.
We would appreciate it if you could fill in the form below.
We would be very grateful if you could complete the form and submit within 1 week.
Which of the following products and services applies to you? (Please tick any
appropriate boxes) *
Water Pumps
Borehole Service
Swimming Pools
Water Treatment
Generators
Solar
Service
Spare Parts
GENERAL OPINION *
Yes, very much
Yes
Perhaps
No
No, not at all
Are you satisfied dealing with us?
Are you satisfied dealing with us?
PRODUCTS * Excellent
Good
Average
Poor
Unsatisfactory
How would you rate our product in terms of value?
How would you rate our product in terms of quality?
STAFF *
Excellent
Good
Average
Poor
Unsatisfactory
How would you rate our staff in terms of helpfulness?
How would you rate our staff in terms of helpfulness?
SERVICE *
Excellent
Good
Average
Poor
Unsatisfactory
Are you a service customer? If so how do you rate our service team?
Are you a service customer? If so how do you rate our service team?
Enter briefly what you appreciate about us and your feedback on what must
be improved *
Additional comments
Your Name,
Contact details
SUBMIT