Service & Installation Survey

Hospital Name:

Your Name:

E-mail Address:

Telephone Number:

1. How would you rate your initial contact with our company when arranging your service or installation?

—Please choose an option—Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfied

2. Did the engineer arrive at the agreed time?

—Please choose an option—YesNo

3. How would you rate the engineer’s knowledge & competence?

—Please choose an option—ExcellentAbove averageAverageBelow averagePoor

4. How would you rate the engineer’s professionalism/friendliness?

—Please choose an option—ExcellentAbove averageAverageBelow averagePoor

5. Do you think the service/installation visit was value for money?

—Please choose an option—YesNo

6. How would you rate the engineers overall performance?

—Please choose an option—Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfied

7. In relation to our performance against other suppliers, how does our company compare with other suppliers?

—Please choose an option—Outstanding performanceExceeds expectationsCompares favourablyCompares unfavourablyCompares very unfavourably

8. Do you have any other comments, questions, or concerns?

9. Would you like any further information on any of our products?