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FEEDBACK FORM

Solutions Review Requester

Thank you for taking the time to complete this survey. Your feedback is very important to us and help us improve the service we offer.

Name *

Job title *

Company *

1. Did the Amdaris HealthCheck service meet your expectations? *

1 = Very unsatisfied
2 = Unsatisfied
3 = Neutral
4 = Satisfied
5 = Very satisfied

2. Do you feel the Amdaris HealthCheck service delivered value for money? *

Strongly agree
Agree
Neutral
Disagree
Strongly disagree

3. Do you feel the Amdaris HealthCheck was delivered in a timely and efficient manner? *

Strongly agree
Agree
Neutral
Disagree
Strongly disagree

4. How satisfied are you with the report you received from the Amdaris team (e.g. accuracy, detail and quality)? *

Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied

5. How valuable do you consider the recommendations you received from the Amdaris HealthCheck service? *

Very valuable
Valuable
Neutral
Limited value
No value

6. Do you feel that the Amdaris team were knowledgable and helpful during the process? *

Consistently met or exceeded expectations
Met expectations almost all the time
Mostly met expectations
Fell below expectations
Significantly fell below expectations

7. On a scale from 1 to 10 how likely are you to recommend the Amdaris HealthCheck service to a colleague or contact? (1-6 means you aren’t satisfied and wouldn’t recommend Amdaris, 7-8 means you are neutral and therefore unlikely to recommend Amdaris, 9-10 – means you would be happy to recommend Amdaris) *

10
9
8
7
6
5
4
3
2
1

8. What improvements if any could Amdaris make to the HealthCheck service to improve your experience? *

9. How likely are you to use the Amdaris HealthCheck service in the future? *

10. Is there anything else you would like to share about your experience with the Amdaris HealthCheck service? *

11. Are you happy to be contacted for a reference? *

Yes
No

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