Does your phone bill look out of line?
Yes
No
If yes, is this recent or has it been going on for a while?
Yes
No
Do you feel that you are on a wrong plan?
Yes
No
By how much does your bill appear to be wrong?
Are you happy with your service?
Yes
No
Are there any areas of your service that could be improved?
How is your coverage?
Excellent
Good
Fair
Poor
Do you make calls to other employees on cell phones?
Yes
No
Do you talk to family members by cell phone often?
Yes
No
Do you use your phone much after hours?
Yes
No
Do you make many long distance calls?
Yes
No
Is there a goal, or objective for your monthly cell phone bill?
Yes
No
How many employees do you have?
PLEASE SELECT
1-5
6-10
11-20
21-30
30+
How many cell phones do you have?
PLEASE SELECT
1-5
6-10
11-20
21-30
30+
How long have you had your service?
PLEASE SELECT
0-6 Months
7 Months - 1 Year
2 - 3 Years
3+
Are you under a contract now?
Yes
No
If so tell us when your contract ends:
-- mm/dd/yy
Tell us how to get in touch with you:
Name
Work Phone
FAX
E-mail
Please contact me as soon as possible regarding this matter