Survey Form


    Please help us to serve you better by completing this survey. It should take around 5 minutes to complete.

    1. Overall, how satisfied are you with our product / service? Very SatisfiedSatisfiedNeutralUnsatisfiedVery UnsatisfiedN/A

    2. Would you recommend our product / service to others? DefinitelyProbablyNot SureProbably NotDefinitely Not

    3. How long have you used our product / service? Less than a month1-6 months1-3 yearsOver 3 YearsNever used

    4. How often do you use our product / service? Once a week2 to 3 times a monthOnce a monthLess than once a month

    5. What aspect of the product / service were you most satisfied by? QualityPricePurchase ExperienceUsage ExperienceCustomer Service

    6. Overall, the product / service met my expectations? Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeDon't Know

    7. What do you like about the product / service?

    8. Thinking of similar products / services offered by others, how would you compare the product / service offered by us? Much BetterSomewhat BetterAbout the SameSomewhat WorseMuch WorseDon't Know


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    1.Does your business get the quantity of referrals you want?
    2.Does your business get the quality of referrals that you want?
    3.If you could attract better clients what would be the results?
    4.Do you spend much time training your network to refer you?
    5.Have you got the time to invest in getting a referral plan?
    6.Would you like to know more about how Asentiv could help your business?