SECTION-1

DETIALS OF CUSTOMER

1. Name : __________________________________________

2. Age : _____

3.Gender :

o Male o Female o Others

4. Number of family members : _____

5. Mobile.No : ___________________

6. G.mail-ID : _______________________________

7. Address : ____________________________________

____________________________________

8. Occupation:

o Businessman o Govt. employee

o Private employee o Housewife o Student

o Other

9. Income:

o Less than 10,000 o 10,000- 20,000

o 20,000- 30,000 o More than 30,000

10. Product code : ______________________

 SECTION-2

Questions for Customer Service:

Customer support is the main touch point between your customer and your company. Making
sure that your customers are having an optimal experience with your agents can be just as
important as their happiness with your product or service – a good customer support team
inspires loyalty and trust.

To understand how crucial the relationship between your customer service team and your
customer.

 42% are put off by rude or unhelpful staff

 29% are annoyed by a lack of staff knowledge

 32% are fed up of speaking to multiple agents

Questions for Products and Shipping:

 Your product is the bread and butter of your business. If your customer isn’t enjoying
your product, or isn’t receiving it in the best way possible, the long-term success of your
company could be in jeopardy.

 And customer expectations surrounding shipment are growing: 38% of European

shoppers expect that their shipment will arrive the next day.
  The questions below are important to add to your survey if you’re testing a new product
or shipment option, or just want general feedback:

1. Are you happy with your shipping options? If not, what type of shipping could we offer to
enhance your shopping experience?

__________________________________________________________

2. Did the product arrive on time?

o YES o NO

3. Did the product meet your expectations?

__________________________________

4. Did the photograph of the product on our website accurately represent what you received?

o SAME PRODUCT o BOX IS DIFFERENT

o OTHER
5. Did the description of the product on our website accurately represent what you received?

o SAME o OTHER PRODUCT

6. Did you receive the correct product?

o YES o NO

7. Is using product/service X simple? If not, what are you having trouble with?

__________________________________________________

The questions below will help establish how your customers truly feel about doing business with
you, now and in the future:

8. Would you recommend our services/products to a friend? If not, why?

__________________________________________________

9. Will you use our services/products to meet your X needs in the future?

___________________________________________________

10. Will you buy Purifier products from our company?

o YES o NO

11. Do you identify as a loyal customer of our brand?

__________________________________________________

12. Would you like to receive information regarding our new releases/future sales?

o YES o NO
Questions for Marketing and Community Outreach:

 Although it’s easy to overlook, knowing how your customers found you gives you
knowledge of how to best attract customers in the future.
 Though your marketing team puts a lot of effort into getting your name out there,
sometimes visitors find your brand through channels you didn’t even know existed.
 Perhaps a customer found a review of your product on a blog you didn’t know about, or
received a recommendation from a well-known industry leader. In this case, knowledge
truly is power.
Use the following to strengthen your understanding of what’s bringing customers to your
door:

13. Where did you learn about our services/products? Would you consider that source to be a
trusted and reliable resource?

_______________________________________________

14. Would you consider speaking to one of our agents for X minutes about how we can improve
our products/services?

o YES o NO

15. Do you regularly read our blog?

o YES o No

PRODUCT ENQUIRY

16. Do you use any kind of water purifier at home?

o Yes o No

17. What type of purifier do you use?

o Electrical o Non electrical

18. What is your existing drinking water source?

o Municipal water o Bore well/ Submersible

o Canned water o Hand pump

19. Rank the following from 1 to 4 according to your priority:

COLOR &
BRAND NAME TECHNOLOGY DESGIN PRICE

20. Where did you hear about the product?

○ TV commercial ○ Newspaper print ads

○ In shop branding ○ Friend’s/Relative’s references

21. Rate following attributes on the scale of 1 – 5 where

Most Important Neutral Somewhat Least

impotant important important
Price
Health &
safety
Societal
status
Aesthetics

22. Are you aware of the technology used in your purifier?

o Yes o No

23. Who suggested you to use water purifier?

 o Doctor o Friends

o Relatives o Sales person

24. Since how long you are using water purifier?

o Less than 1 year o 1-2 year

o 2-3 year o More than 3 years

25. How much capacity does your water purifier have?

o less than 10 Liters o 10 Liters

o 18 Liters o 20 Liters

26. Do you agree that the technologies like RO and UV are beneficial for cleaning germs more
effectively

o strongly agree o agree o neutral

o disagree o strongly disagree

27. which water purifier are u using currently (name)?

____________________________________________