Customer satisfaction survey

Understand how your clients are satisfied with your services, capabilities and their customer journey.

OMR ready customer satisfaction survey template

Source code

Text markup
?text=AmazeCar Customer Satisfaction Survey
	font_style=bold
	font_size=18
	align=center
?image=logo.jpg
	width=200
	height=200
	align=left
	y=100
	x=278
?container=description
	columns_count=1
?block=
	column=1
?content=Thank you for your purchase! We want your experience to be Perfect! Please help us be more Amazing by answering some question about your purchase.
	font_style=Italic
&block
&container
?container=about yourself_header
	columns_proportions=100%
	block_bottom_margin=0
	block_top_padding=0
?block=
	column=1
	border=square
?content=Please tell us a bit about yourself...
	font_style=bold
	font_size=14
?empty_line=
	height=50
&block
&container
?empty_line=
	height=50
?container=about yourself_content
	columns_proportions=33%-10%-22%-2%-33%
	block_bottom_margin=0
	block_top_padding=0
?block=
	column=1
?content=Gender:
	font_style=bold
	font_size=12
?vertical_choicebox=Gender
?answer=Female
?content=Female
&answer
?answer=Male
?content=Male
&answer
?answer=Other(specify)
?content=Other(specify)
?write_in=Gender
&answer
&vertical_choicebox
&block
?block=
	column=3
?content=Age Group:
	font_style=bold
	font_size=12
?vertical_choicebox=Age Group
?answer=18-21
?content=18-21
&answer
?answer=21-30
?content=21-30
&answer
?answer=31-45
?content=31-45
&answer
?answer=46-60
?content=46-60
&answer
?answer=>60
?content=>60
&answer
?answer=21-30
?content=21-30
&answer
&vertical_choicebox
&block
?block=
	column=5
?content=Income Level:
	font_style=bold
	font_size=12
?vertical_choicebox=Gender
?answer=<$50K
?content=<$50K
&answer
?answer=$50-$100K
?content=$50-$100K
&answer
?answer=$100-$150K
?content=$100-$150K
&answer
?answer=>$150K
?content=>$150K
&answer
&vertical_choicebox
&block
&container
?empty_line=
	height=25
#The manner in which you were greeted by SALESPERSON
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative	
#Sincerity and honesty of SALESPERSON when dealing with you 
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#SALESPERSON consideration of your time
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#SALESPERSON ability to listen, understand and answer your questions
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#Fulfilled all commitments made to you by SALESPERSON
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#The vehicle price and/or payments were discussed by SALESTEAM in a thorough manner
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#Explanation of warranty coverage by SALESTEAM
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#The professional manner in which you were treated by SALESTEAM
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#Fulfilled all commitments made to you by SALESTEAM
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
#If you have contacted out store by phone, how satisfied are you with the way your call was handled?
	()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative
?empty_line=
	height=50	
?container=
	columns_count=1
?block=
	column=1	
?content=If you overall experience was unsatisfactory - leave your contact information. We'll contact you about it!
?write_in=contact_information
&block
&container
?barcode=test_id
	codetext=true
	value=15478977
	barcode_type=Code32
JSON markup
{
  "name": null,
  "children": [
    {
      "name": null,
      "children": [
        {
          "name": "AmazeCar Customer Satisfaction Survey\r\n",
          "font_family": "Calibri",
          "font_style": "Bold",
          "font_size": 18,
          "align": "Center",
          "element_type": "Text"
        },
        {
          "align": "Left",
          "name": "logo.jpg",
          "image_path": null,
          "x": 278,
          "y": 100,
          "height": 200,
          "width": 200,
          "element_type": "Image"
        },
        {
          "name": "description",
          "children": [
            {
              "name": "",
              "children": [
                {
                  "name": "Thank you for your purchase! We want your experience to be Perfect! Please help us be more Amazing by answering some question about your purchase.",
                  "font_family": "Calibri",
                  "font_style": "Italic",
                  "font_size": 10,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                }
              ],
              "column": 1,
              "border": "None",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            }
          ],
          "columns_count": 1,
          "columns_proportions": null,
          "container_type": "Normal",
          "block_right_margin": 40,
          "block_bottom_margin": 20,
          "block_top_padding": 20,
          "element_type": "Container"
        },
        {
          "name": "about yourself_header",
          "children": [
            {
              "name": "",
              "children": [
                {
                  "name": "Please tell us a bit about yourself...",
                  "font_family": "Calibri",
                  "font_style": "Bold",
                  "font_size": 14,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                },
                {
                  "name": "",
                  "height": 50,
                  "element_type": "EmptyLine"
                }
              ],
              "column": 1,
              "border": "Square",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            }
          ],
          "columns_count": 0,
          "columns_proportions": [
            100
          ],
          "container_type": "Normal",
          "block_right_margin": 40,
          "block_bottom_margin": 0,
          "block_top_padding": 0,
          "element_type": "Container"
        },
        {
          "name": "",
          "height": 50,
          "element_type": "EmptyLine"
        },
        {
          "name": "about yourself_content",
          "children": [
            {
              "name": "",
              "children": [
                {
                  "name": "Gender:",
                  "font_family": "Calibri",
                  "font_style": "Bold",
                  "font_size": 12,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                },
                {
                  "name": "Gender",
                  "children": [
                    {
                      "name": "Female",
                      "children": [
                        {
                          "name": "Female",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "Male",
                      "children": [
                        {
                          "name": "Male",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "Other(specify)",
                      "children": [
                        {
                          "name": "Other(specify)",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        },
                        {
                          "name": "Gender",
                          "required": false,
                          "element_type": "WriteIn"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    }
                  ],
                  "element_type": "VerticalChoiceBox",
                  "threshold": 0,
                  "top_padding": 0
                }
              ],
              "column": 1,
              "border": "None",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            },
            {
              "name": "",
              "children": [
                {
                  "name": "Age Group:",
                  "font_family": "Calibri",
                  "font_style": "Bold",
                  "font_size": 12,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                },
                {
                  "name": "Age Group",
                  "children": [
                    {
                      "name": "18-21",
                      "children": [
                        {
                          "name": "18-21",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "21-30",
                      "children": [
                        {
                          "name": "21-30",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "31-45",
                      "children": [
                        {
                          "name": "31-45",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "46-60",
                      "children": [
                        {
                          "name": "46-60",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": ">60",
                      "children": [
                        {
                          "name": ">60",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "21-30",
                      "children": [
                        {
                          "name": "21-30",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    }
                  ],
                  "element_type": "VerticalChoiceBox",
                  "threshold": 0,
                  "top_padding": 0
                }
              ],
              "column": 3,
              "border": "None",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            },
            {
              "name": "",
              "children": [
                {
                  "name": "Income Level:",
                  "font_family": "Calibri",
                  "font_style": "Bold",
                  "font_size": 12,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                },
                {
                  "name": "Gender",
                  "children": [
                    {
                      "name": "<$50K",
                      "children": [
                        {
                          "name": "<$50K",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "$50-$100K",
                      "children": [
                        {
                          "name": "$50-$100K",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": "$100-$150K",
                      "children": [
                        {
                          "name": "$100-$150K",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    },
                    {
                      "name": ">$150K",
                      "children": [
                        {
                          "name": ">$150K",
                          "font_family": "Calibri",
                          "font_style": "Regular",
                          "font_size": 10,
                          "content_type": "Normal",
                          "align": "Left",
                          "element_type": "Content"
                        }
                      ],
                      "bubble_type": "Round",
                      "element_type": "Answer"
                    }
                  ],
                  "element_type": "VerticalChoiceBox",
                  "threshold": 0,
                  "top_padding": 0
                }
              ],
              "column": 5,
              "border": "None",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            }
          ],
          "columns_count": 0,
          "columns_proportions": [
            33,
            10,
            22,
            2,
            33
          ],
          "container_type": "Normal",
          "block_right_margin": 40,
          "block_bottom_margin": 0,
          "block_top_padding": 0,
          "element_type": "Container"
        },
        {
          "name": "",
          "height": 25,
          "element_type": "EmptyLine"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\t\r\n",
          "question_text": "The manner in which you were greeted by SALESPERSON\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "Sincerity and honesty of SALESPERSON when dealing with you \r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "SALESPERSON consideration of your time\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "SALESPERSON ability to listen, understand and answer your questions\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "Fulfilled all commitments made to you by SALESPERSON\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "The vehicle price and/or payments were discussed by SALESTEAM in a thorough manner\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "Explanation of warranty coverage by SALESTEAM\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "The professional manner in which you were treated by SALESTEAM\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "Fulfilled all commitments made to you by SALESTEAM\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": null,
          "font_family": "Calibri",
          "font_style": "Regular",
          "font_size": 10,
          "align": "Left",
          "answers_string": "\t()Fantastic! ()Excellent ()Satisfactory ()Mediocre ()Negative\r\n",
          "question_text": "If you have contacted out store by phone, how satisfied are you with the way your call was handled?\r\n",
          "element_type": "ChoiceBox"
        },
        {
          "name": "",
          "height": 50,
          "element_type": "EmptyLine"
        },
        {
          "name": "",
          "children": [
            {
              "name": "",
              "children": [
                {
                  "name": "If you overall experience was unsatisfactory - leave your contact information. We'll contact you about it!",
                  "font_family": "Calibri",
                  "font_style": "Regular",
                  "font_size": 10,
                  "content_type": "Normal",
                  "align": "Left",
                  "element_type": "Content"
                },
                {
                  "name": "contact_information",
                  "required": false,
                  "element_type": "WriteIn"
                }
              ],
              "column": 1,
              "border": "None",
              "border_size": 3,
              "border_color": "Black",
              "is_clipped": false,
              "element_type": "Block"
            }
          ],
          "columns_count": 1,
          "columns_proportions": null,
          "container_type": "Normal",
          "block_right_margin": 40,
          "block_bottom_margin": 20,
          "block_top_padding": 20,
          "element_type": "Container"
        },
        {
          "name": "test_id",
          "value": "15478977",
          "barcode_type": "Code32",
          "qr_version": "Auto",
          "align": "Center",
          "height": -1,
          "codetext": true,
          "X": -1,
          "Y": -1,
          "element_type": "Barcode"
        }
      ],
      "element_type": "Page"
    }
  ],
  "element_type": "Template"
}

Page settings

This template was generated using the following paper size, orientation, font, and other layout settings:

GlobalPageSettings settings = new GlobalPageSettings
{
    PaperSize = PaperSize.Letter,
    Orientation = Orientation.Vertical,
    BubbleColor = Color.Black,
    BubbleSize = BubbleSize.Normal,
    FontStyle = FontStyle.Regular,
    FontSize = 10,
    FontFamily = "Calibri",
};

Recognition results

OMR ready customer satisfaction survey filled

Element Name,Value,
Age Group,"21-30"
Gender,"<$50K"
Gender,"Female"
Question1,"D"
Question2,"D"
Question3,"D"
Question4,"B"
Question5,""
Question6,"B"
Question7,"B"
Question8,"A"
Question9,"A"
Question10,"A"
test_id,"154789770"

Download

Click here to download full template sources and related files.

Package structure:

File Description
car-dealership.csv recognition results based on the filled form available in this package
car-dealership.json source code in JSON markup
car-dealership.omr recognition pattern
car-dealership.png printable form
car-dealership.txt source code in text markup
car-dealership-recognized.png filled form
logo.jpg company logo
settings.json page settings