Customer Feedback Form

CHUResidentsline would like to know what you think of our service. Please complete this short survey to provide us with feedback.

1. How long have you been using CHUResidentsline products and services?

 Less than 1 month 1 month to 1 year 1 to 3 years More than 3 years

2. What is your overall satisfaction with CHUResidentsline products and services?

 Very satisfied Satisfied Dissatisfied Very Dissatisfied

If you are dissatisfied, please explain why?

3. How satisfied are you with CHUResidentsline products and services in the following areas:

Competitive Price

 Very satisfied Satisfied Dissatisfied Very Dissatisfied

Timely response to enquiries

 Very satisfied Satisfied Dissatisfied Very Dissatisfied

Ability to make contact

 Satisfied Dissatisfied Very Dissatisfied

Helpfulness and knowledge of staff

 Very satisfied Satisfied Dissatisfied Very Dissatisfied

4. Would you recommend CHUResidentsline products or services to others?

 Definitely Probably Probably not Definitely not Not Sure

5. Do you have any other feedback?

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