City:
First & Last Name:
Account #:
E-mail:

1. Overall, how satisfied are you with Socket?

2. Please rate your satisfaction with the following:

Politeness of customer service representative or technician

Promptness of customer service representative or technician

Time spent on hold when calling in

Price compared to value received

3. How likely are you to recommend Socket to a friend?

4. Why would or why wouldn't you recommend us to a friend?

5. On average, how many hours do you spend online each day?
1-3 4-6 6-8 8+ Select One

6. In the next six months, would you be interested in upgrading your service to any of the following?
Local Business Telephone Service High Speed DSL Accelerated Dial-Up Web Hosting Other Select One

If other, what type of service would you consider?

7. What would you like to see added to Socket's Customer Home Page? (www.socket.net/customer)
Do not use it Nothing Select One

8. What is your favorite feature Socket offers?

9. Do you have any suggestions for improving Socket's value to you?

10. For the purpose of classifying your response only:

What is your gender?
Male Female Select One

What is your age?
12-17 18-24 25-44 45-59 60-69 70+ Select One