Customer Feedback Survey

Name *

First

Last

Email *

How satisfied are you with *

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Quality of Service/Product Received from Active HR	Very UnsatisfiedQuality of Service/Product Received from Active HR Very Unsatisfied	UnsatisfiedQuality of Service/Product Received from Active HR Unsatisfied	NeutralQuality of Service/Product Received from Active HR Neutral	SatisfiedQuality of Service/Product Received from Active HR Satisfied	Very SatisfiedQuality of Service/Product Received from Active HR Very Satisfied
Standard of Customer Service Received from Active HR	Very UnsatisfiedStandard of Customer Service Received from Active HR Very Unsatisfied	UnsatisfiedStandard of Customer Service Received from Active HR Unsatisfied	NeutralStandard of Customer Service Received from Active HR Neutral	SatisfiedStandard of Customer Service Received from Active HR Satisfied	Very SatisfiedStandard of Customer Service Received from Active HR Very Satisfied
Professionalism of Active HR Consultant	Very UnsatisfiedProfessionalism of Active HR Consultant Very Unsatisfied	UnsatisfiedProfessionalism of Active HR Consultant Unsatisfied	NeutralProfessionalism of Active HR Consultant Neutral	SatisfiedProfessionalism of Active HR Consultant Satisfied	Very SatisfiedProfessionalism of Active HR Consultant Very Satisfied

How likely are you to *

	Very Unlikely	Unlikely	Neutral	Likely	Very Likely
Utilise our services again	Very UnlikelyUtilise our services again Very Unlikely	UnlikelyUtilise our services again Unlikely	NeutralUtilise our services again Neutral	LikelyUtilise our services again Likely	Very LikelyUtilise our services again Very Likely
Refer our company to others	Very UnlikelyRefer our company to others Very Unlikely	UnlikelyRefer our company to others Unlikely	NeutralRefer our company to others Neutral	LikelyRefer our company to others Likely	Very LikelyRefer our company to others Very Likely

Additional comments or suggestions