GEUS Customer Satisfaction Survey
Date of most recent GEUS visit.
MM
/
DD
/
YYYY
Please select the service(s) that you contacted us most recently about.
How did you contact us?
Was the GEUS Representative Courteous and Professional?
Poor
Excellent
Was the GEUS Representative Helpful?
Poor
Excellent
Was your visit easy?
Poor
Excellent
Were you happy with your experience
Poor
Excellent
If you were not happy with your experience please explain.
Your answer
How could we have made your experience better?
Your answer
Do you want to be contacted?
Name
Your answer
Address
Your answer
Email Address
Your answer
Phone Number
Your answer
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