Customer Satisfaction Survey
Exit Survey
100%
Please tell us how important these are to you and how satisfied you are with our service.
Importance
Satisfaction
Not Important
Very Important
Not Satisfied
Very Satisfied
1
2
3
4
5
1
2
3
4
5
Crew Knowledge
Importance Crew Knowledge 1
Importance Crew Knowledge 2
Importance Crew Knowledge 3
Importance Crew Knowledge 4
Importance Crew Knowledge 5
Satisfaction Crew Knowledge 1
Satisfaction Crew Knowledge 2
Satisfaction Crew Knowledge 3
Satisfaction Crew Knowledge 4
Satisfaction Crew Knowledge 5
Crew Professionalism
Importance Crew Professionalism 1
Importance Crew Professionalism 2
Importance Crew Professionalism 3
Importance Crew Professionalism 4
Importance Crew Professionalism 5
Satisfaction Crew Professionalism 1
Satisfaction Crew Professionalism 2
Satisfaction Crew Professionalism 3
Satisfaction Crew Professionalism 4
Satisfaction Crew Professionalism 5
Crew Appearance
Importance Crew Appearance 1
Importance Crew Appearance 2
Importance Crew Appearance 3
Importance Crew Appearance 4
Importance Crew Appearance 5
Satisfaction Crew Appearance 1
Satisfaction Crew Appearance 2
Satisfaction Crew Appearance 3
Satisfaction Crew Appearance 4
Satisfaction Crew Appearance 5
Timeliness during call
Importance Timeliness during call 1
Importance Timeliness during call 2
Importance Timeliness during call 3
Importance Timeliness during call 4
Importance Timeliness during call 5
Satisfaction Timeliness during call 1
Satisfaction Timeliness during call 2
Satisfaction Timeliness during call 3
Satisfaction Timeliness during call 4
Satisfaction Timeliness during call 5
Crew Knowledge
Importance[Not Important,Very Important]
-- Select --
1 Not Important
2
3
4
5 Very Important
Satisfaction[Not Satisfied,Very Satisfied]
-- Select --
1 Not Satisfied
2
3
4
5 Very Satisfied
Crew Professionalism
Importance[Not Important,Very Important]
-- Select --
1 Not Important
2
3
4
5 Very Important
Satisfaction[Not Satisfied,Very Satisfied]
-- Select --
1 Not Satisfied
2
3
4
5 Very Satisfied
Crew Appearance
Importance[Not Important,Very Important]
-- Select --
1 Not Important
2
3
4
5 Very Important
Satisfaction[Not Satisfied,Very Satisfied]
-- Select --
1 Not Satisfied
2
3
4
5 Very Satisfied
Timeliness during call
Importance[Not Important,Very Important]
-- Select --
1 Not Important
2
3
4
5 Very Important
Satisfaction[Not Satisfied,Very Satisfied]
-- Select --
1 Not Satisfied
2
3
4
5 Very Satisfied
Please rate the following:
Overall Satisfaction
1
2
3
4
5
Interaction with Billing Office
1
2
3
4
5
Interaction with Crews
1
2
3
4
5
Convalescent Scheduling Process
1
2
3
4
5
How professional is our Company?
1
2
3
4
5
Please list any Comments or Suggestions:
Done
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