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Mobilis Customer Service Survey
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Email
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Record my email address with my response
Please tell us what equipment/service was received or requested.
Your answer
Date of service or request
MM
/
DD
/
YYYY
I was provided with acceptable appointment times in a courteous manner.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer.
Your answer
The company representative/technician was knowledgeable, courteous and professional
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer
Your answer
The company representative/technician provided an owner's manual or clear written instructions and/or a demonstration on the proper use and maintenance of the equipment provided
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer
Your answer
I received my equipment at the scheduled time/date and/or within a reasonable time frame
Strongly Disagree
Disagree
Neutrual
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer
Your answer
My equipment was clean, in working order and/or properly adjusted/fitted to me
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer
Your answer
How agreeable are you to recommend Mobilis, Inc to your friends or family?
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
How much do you agree with the following statement: "The company's overall performance meets my expectations."
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Clear selection
Please explain why you selected your answer
Your answer
Additional Comments: What areas are we doing well that will continue to keep your confidence as your preferred provider
Your answer
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