Demo examples for Everest Forms

Customer Feedback Form

Please take a few minutes to give us feedback about our service by filling in this short Customer Feedback Form. We are conducting this research in order to measure your level of satisfaction with the quality of our service. We thank you for your participation.

Overall experience with our service

	Very Good	Good	Fair	Poor	Very Poor
How would you rate your overall experience with our service?	How would you rate your overall experience with our service? Very Good	How would you rate your overall experience with our service? Good	How would you rate your overall experience with our service? Fair	How would you rate your overall experience with our service? Poor	How would you rate your overall experience with our service? Very Poor
How satisfied are you with the comprehensiveness of our offer?	How satisfied are you with the comprehensiveness of our offer? Very Good	How satisfied are you with the comprehensiveness of our offer? Good	How satisfied are you with the comprehensiveness of our offer? Fair	How satisfied are you with the comprehensiveness of our offer? Poor	How satisfied are you with the comprehensiveness of our offer? Very Poor
How would you rate our prices?	How would you rate our prices? Very Good	How would you rate our prices? Good	How would you rate our prices? Fair	How would you rate our prices? Poor	How would you rate our prices? Very Poor
How satisfied are you with the timeliness of order delivery?	How satisfied are you with the timeliness of order delivery? Very Good	How satisfied are you with the timeliness of order delivery? Good	How satisfied are you with the timeliness of order delivery? Fair	How satisfied are you with the timeliness of order delivery? Poor	How satisfied are you with the timeliness of order delivery? Very Poor
How satisfied are you with the customer support?	How satisfied are you with the customer support? Very Good	How satisfied are you with the customer support? Good	How satisfied are you with the customer support? Fair	How satisfied are you with the customer support? Poor	How satisfied are you with the customer support? Very Poor
Would you recommend our product / service to other people?	Would you recommend our product / service to other people? Very Good	Would you recommend our product / service to other people? Good	Would you recommend our product / service to other people? Fair	Would you recommend our product / service to other people? Poor	Would you recommend our product / service to other people? Very Poor

What should we change in order to live up to your expectations?

Comment