Customer satisfaction questionnaire

Customer satisfaction questionnaire

Dear customer,
we would like to ask you to fulfill the following questionnaire, it will take you 3 - 5 minutes.

Fields marked with * are required.

How satisfied are you with the following factors? (1 is the best, 5 is the worst)

If we have received a 4-5 rating from one of your questions, please state the reason for your dissatisfaction in the text box of the question.
format (+420 xxx xxx xxx) or (+420xxxxxxxxx)