Service Division Survey Form Overall, how satisfied or dissatisfied are you with HRI? *Very satifiedSomewhat satisfiedNeither satisfied or dissatisfiedVery dissatisfiedWhich of the following words would you use to describe the service you received? Select as many as apply to your experience. *ReliableHigh QualityUsefulUniqueGood ValueOverpricedImpracticalIneffectivePoor QualityUnreliableHow would you rate the quality of our service and goods? Please choose one.Very high qualityHigh qualityNeither high nor low qualityVery low qualityHow would you rate the value by money for the services you received?ExcellentAbove AverageAverageBelow AveragePoorHow responsive have we been to your questions and concerns regarding our/your equipment and services?Extremely responsiveVery responsiveModerately responsiveNot so responsiveNot at all responsiveNot applicableHow long have you been a customer of our company?This is my first experienceLess than 6 months6 months to 1 year1 to 2 years3 or more yearsI haven't made a purchase yetHow likely are you to use our services again?Extremely likelyVery likelySomewhat likelyNot at all likelyHow likely are you to refer a new customer to HRI Vending?Extremely likelyVery likelySomewhat likelyNot at all likelyNameSubmit Customers providing a referral to HRI resulting in a billable sale, will receive a 10% discount on next service or equipment (used only) purchased at HRI. Forward referral information to us at firstname.lastname@example.org.