Section 1: Overall Satisfaction

1. How satisfied are you with [Product/Service Name]?
   • ☐ Very satisfied
   • ☐ Satisfied
   • ☐ Neutral
   • ☐ Dissatisfied
   • ☐ Very dissatisfied
2. How likely are you to recommend [Product/Service Name] to others?
   • ☐ Extremely likely
   • ☐ Likely
   • ☐ Neutral
   • ☐ Unlikely
   • ☐ Extremely unlikely

Section 2: Product/Service Experience
3. How would you rate the quality of [Product/Service Name]?

• ☐ Excellent
• ☐ Good
• ☐ Average
• ☐ Poor

4. Was the [Product/Service Name] easy to use or implement?
   • ☐ Strongly agree
   • ☐ Agree
   • ☐ Neutral
   • ☐ Disagree
   • ☐ Strongly disagree
5. What feature or aspect of [Product/Service Name] do you find most valuable?
   (Open-ended response)
6. Are there any specific challenges or difficulties you encountered while using [Product/Service Name]?
   (Open-ended response)

Section 3: Customer Support
7. Have you interacted with our customer support team?

• ☐ Yes
• ☐ No

8. If yes, how would you rate your experience with customer support?
   • ☐ Excellent
   • ☐ Good
   • ☐ Neutral
   • ☐ Poor

Section 4: Suggestions for Improvement
9. What improvements would you suggest to enhance your experience with [Product/Service Name]?
(Open-ended response)

10. Do you have any additional comments or feedback?
    (Open-ended response)

Closing:
Thank you for your feedback. Your insights are invaluable to us, and we will use them to enhance the quality of [Product/Service Name]. If you have additional thoughts, please feel free to contact us at [Insert Contact Information].