CUSTOMER FOCUS TOOLS Service Quality Assessment Use or adapt this form to survey your internal or external customers on the level of service they received from your organization. You can modify the questions within this document for a service or manufacturing industry, or specifically tailor the questions to your business. Service Quality Assessment Please use a rating scale from 1 to 5 to indicate how satisfied you are with the level of service you received when you placed your order. On the left side, please rate the importance of each item to you. Then, on the right side indicate your degree of satisfaction with our performance. Use NA if the item is not applicable to you. Importance Low 1 2 3 4 Satisfaction High 5 Low 1 2 Speed with which your call is answered Helpful, courteous customer service or sales representative Representative takes time to answer all questions Ability to speed up an order in a rush situation Speed with which you received your order Good condition of order upon arrival Ease of returning a product Ability to trace an order Fast and effective problem resolution Representative knowledgeable about product Representative treated you like a valued customer Other: How can we improve our service to you? Please describe below your suggestions about how we can improve the quality of our service to you. Please return this form: Via e-mail to: Via mail to: Via FAX to: We thank you for your business and look forward to serving you again. 3 4 High 5