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Customer Satisfaction Survey
Thank you for taking the time to complete our short survey, your feedback is important to us.
1.
Which of the following words and phrases would you use to describe our services? Select all that apply.
Reliable
High quality
Helpful
Expert
Easy to use
Flexible
Responsive
Good value
Unreliable
Inflexible
Unresponsive
Ineffective
Poor quality
Poor value
2.
How well do our services meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
3.
How would you rate the quality of our services?
Very high quality
High quality
Neither high nor low quality
Low quality
Very low quality
4.
How would you rate the value for money of our services?
Excellent
Above average
Average
Below average
Poor
5.
How responsive are we?
Extremely responsive
Very responsive
Somewhat responsive
Not so responsive
Not at all responsive
6.
How likely are you to continue using Gipping OH as your Occupational Health service provider?
Extremely likely
Very likely
Somewhat likely
Not so likely
Not at all likely
7.
Overall, how satisfied or dissatisfied are you with us?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
8.
How likely is it that you would recommend Gipping OH?
NOT AT ALL LIKELY 1
2
3
4
5
6
7
8
9
EXTREMELY LIKELY 10
NOT AT ALL LIKELY 1
2
3
4
5
6
7
8
9
EXTREMELY LIKELY 10
9.
Do you have any other comments, questions, or concerns?
10.
Which Occupational Health Services might be of interest over the next 12 months? (Tick all that apply
New Employee Screening
Health Surveillance Programme
Hearing Tests
Hand Arm Vibration Assessments
Lung Function Tests
Safety Critical Assessments
Management Referrals
Drug & Alcohol Testing
Face Fit Testing
Occupational Vaccinations e.g. Hep A, Hep B & Flu
Blood Screening (in relation to Occupational Vaccinations)
Biological Monitoring (in relation to specific hazards e.g. Isocyanates)
DSE Assessments
Employee Assistance Programme
Physiotherapy Services
Functional Assessments
Talking Therapy Services (To support Mental Health)
Health & Wellbeing Promotion
Mental Health First Aid Training
Mental Health Awareness Training
First Aid Training
Health Questionnaires
Health Needs Analysis
Other (please specify)
*
11.
Your company name
(Required.)
*
12.
Your name
(Required.)
*
13.
Your job role
(Required.)
