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1. Since when have you been using our service?
Less than a month
Less than three months
Less than six months
Less than a year
Less than 2 years
Less than 5 years
More than 5 years
2. How frequently did you use our service? (Customize options according to service.)
Everyday
Once every few days
Once a week
Once a month
Other
3. Please tell us why you have decided to discontinue the service.
Quality not up to the mark
Service charges too high/higher than those of other companies
Deficiency in customer service
Uncomfortable with terms and conditions
Found a better alternative
Other, please specify.
4. Please rate our service on the following parameters.
5. How would you rate our service on the whole?
Very good
Good
Average
Poor
Very poor
6. How does our service compare with the services provided by other companies?
It's as good as it gets.
It's the same.
It's not as good, but has the potential to match up.
There can be no comparison. The others are far better.
7. What do you intend to do after cancelling this service?
Switch to another service provider.
Don't need this kind of service at all.
8. Are you going to:
Cancel all services offered by our company?
Cancel only this particualr service, but continue using other services?
9. Which of the following best descibes your experience with our service cancellation process?
Absolutely hassle-free and really fast.
Fairly hassle-free and fast.
Somewhat hassle-free and moderately fast.
Too slow and riddled with too many hassles.
10. Will you consider using our service(s) again in future?
Yes
No
Can't say
11. Will you recommend us to others?
Yes
No
Can't say
12. We would be glad to know how we could improve our service. Please use the space below to make your suggestions.
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