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DOM-COM Customer Survey
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Billing - Form
Customer Satisfaction Survey (Billing)
Please tick mark in the appropriate box.
Please score the statements depending on how accurate you feel they are, with
1 = strongly disagree, 2 = disagree, 3 = indifferent, 4 = agree, 5 = strongly agree
English
Gujarati
Billing - Customer Satisfaction Survey detail
Field mark with [
*
] are mandatory
Customer Id
*
Email
*
1. How many attempts you made before the billing problem got solved?
One
Two
Three
> 3
2. If there was a problem / query, where did it get solved?
FrontDesk
Telephone Call
Financial Departments
3. The problem reoccur in the next bill?
Yes
No
4. Do you make advance payments for the bill?
Yes
No
5. If yes, does it reflect on the bill?
Yes
No
6. What is your preferred way of payment?
Cash @ Counter
Drop Box
Advance
Credit Card
ECS
Collection Center
7. The details printed on the gas bill are easy to understand.
1
2
3
4
5
8. I am satisfied with the correctness of the bill.
1
2
3
4
5
9. I receive the bill on time (i.e. maximum 7 days in advance)
1
2
3
4
5
10. Your suggestions for improvement.
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