High Performance Newsletter Feedback Form

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Customer satisfaction survey form for the High Performance Email Newsletter

This form is to provide feedback to Derek Stockley on the weekly High Performance Newsletter, as explained in Customer Satisfaction Survey Article.

Your feedback is important

I would sincerely appreciate your specific feedback on the High Performance email newsletter. Completion of the following form is requested (for your records, a copy will be placed in your "sent" email folder of the email address you are using):

Your privacy will be maintained. Your details will not be sold or rented to a third party.

All fields and questions are optional, although your name and country will be appreciated.



Size of your organisation

Less than 9 people 10-99 people More than 100 people Not applicable

How long have you been reading the newsletter?

Less than three months Three months or more Not sure

How would you rate the newsletter generally?

Excellent Very Good Good Satisfactory Poor

Do you read:

Every issue

Most issues

Some issues

No issues

Not applicable (New subscriber)

Do you normally:

Read the newsletter on receipt

Shortly after receipt

Put it in the "read later" folder, but do eventually read it

Put it in the "read later" folder, but do not read it, or only read some issues

Often delete without reading

Not applicable (new subscriber)

Do you find the newsletter:

Difficult to read Easy to read

Uninteresting Interesting

Not relevant Very relevant

Not worthwhile Very worthwhile

What newsletter topics interest you? (you can tick more than one)


Quality/Continuous Improvement

Customer Service



Presentations/Public Speaking

Human Resources/Human Capital



Other, please specify:

The newsletter format is sent in an HTML format. It should look like a web page whether it is read online or off-line. Does the copy you receive:

Look like a web page

Arrives as an attachment

Arrives in another form

Newsletter format issues (please explain above choice if necessary):

Does your browser display the newsletter font (typeface):

Larger than other emails

Same as other emails

Smaller than other emails

Is the font size distracting to you?

Yes No

How would you rate the APPEARANCE/LOOK of the newsletter?

Excellent Very Good Good Satisfactory Poor

Has the newsletter ever prompted you to research a particular topic further?

Yes No

If yes, please explain

Do you have a favourite article?

Yes No

If yes, please explain

Other remarks about the newsletter, the website or Derek Stockley

You will receive a general acknowledgement email within a few minutes of sending your feedback (please note: the acknowledgement will be sent to the email address you use to send this form).

Do you want an additional personal reply?

Yes No

Email address for response:

When you press the "Submit Now" button, you may be advised that your email address is being transmitted, and the data is not encrypted - please press "OK".

Thank you sincerely for your comments. A copy of this Email will be placed in your "sent" folder.

If you the above form does not work, please print the email/web page with the information inputted and fax to +613 9727 5271. If the form works, your email system will ask the questions mentioned above when you press the submit button.

To review the newsletter, see: Listing of recent newsletter articles.

You can publish this article, provided that you meet certain requirements, see: High Performance Newsletter Publication page.

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