Customer Experience (CX) Template
1.
On a scale of 0 to 10,
How likely is it that you would recommend this service to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
2.
How well does our services meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
3.
How responsive have we been to your questions or concerns about our services?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
Not applicable
4.
How long have you been a customer of our company?
This is my first purchase
Less than six months
Six months to a year
1 - 2 years
3 or more years
I haven't made a purchase yet
5.
How likely are you to purchase any of our services again?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
6.
Do you have any other comments, questions, or concerns?