Service Cancellation Survey
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1.- Your Opinion Counts
[COMPANY NAME] is interested in learning more about why you decided to cancel our service. Please take a few moments to complete this brief survey. Your feedback is important to us and your responses will help us better meet customer needs. Your responses will be kept confidential and will not be used for any purpose other than research conducted by [COMPANY NAME]. This survey will take less than (5) minutes.
1.
Nombre
2.
Apellidos
3.
D.N.I
4.
Nombre de la entidad en la que trabajas
*5.
correo electrónico de contacto para notificaciones del curso
6.
Sexo
Hombre
Mujer
Prefiere no decirlo
Otro
7.
Comunidad Autónoma de residencia
Andalucía
Aragón
Asturias
Baleares
Canarias
Cantabria
Castilla la Mancha
Castilla y León
Cataluña
Ceuta
C. Valenciana
C. de Madrid
Extremadura
Galicia
La Rioja
Melilla
Murcia
Navarra
País Vasco
Otro (Por favor especifique)
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Español
Deutsch
Français
English
Italiano
Português
Português Brazil
Русский
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