A trusted resource for women planning alternative families

Let Us Know How We're Doing

In an effort to provide the best possible experience with Pacific Reproductive Services, we would appreciate your response to the following items.
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c/o M. Oddone, Director of Marketing,
444 De Haro St., Suite 222, San Francisco, CA 94107.
Thank you.

Please continue by filling out the following fields:


1. Why did you contact Pacific Reproductive Services?
Purchase sperm
Insemination services
Infertility consulting
Become a donor
Store sperm
Needed more information
Other

2. How did you first contact us?
Phone
Website
E-mail
Fax
Mail
In-Person
Other

3. How long did you have to wait before a customer representative addressed your needs?
Right away
Later that same day
Next day
2-4 days
5-7 days
More than a week
Other

4. How long have you been a Pacific Reproductive Services customer?
Less than 6 months
6 months - 1 year
2-4 years
More than 5 Years

5. How often have you had contact with Pacific Reproductive Services in the past 3 months?
Once
2-5 times
5-10 times
10-30 times
Daily

6. Where did you look for information on sperm banks?
Physician or other health professional
Internet
Yellow Pages
Friend
Book/Resource
Media Story
Other

7. Which of the following most influenced your choice?
Company has a good reputation
Physician or health professional reference
Friend or family used the same company
Magazine or publication article
Customer service
Competitive rates & fees
Good donor selection
Availability of "Willing to Be Known" donors
Many years in the business
Accreditations
Website
Convenient location

8. Please rate the following statements according to your experience with both Pacific Reproductive Services and the Pacific Reproductive Services' Customer Service Representatives (CSR's):
 
Agree
Neutral
Disagree
N/A
My request was processed promptly
My request was processed accurately
My questions were answered fully
The CSR was knowledgable
The CSR was courteous
The CSR was professional
The CSR showed initiative in helping
I was able to access information that I needed from the website
The website is easy to use and well-organized
The website contains clear and accurate information
If I recieved printed information, it was clear and understandable

9. Please rate our products and services
 
Poor
Fair
Good
Very Good
Excellent N/A
Selection of donors
Registration
Initial consultation
Website
Customer Service
Professional advice
Medical screening

10. Based on your experience with Pacific Reproductive Services, would you recommend our services to others and use our services again in the future?
Yes
No
Not applicable

11. What can we do better?

12. What are we doing right?

13. How would you rate our service now, compared to previous experience?
Significantly better
A little better
Same as before
Worse
A lot worse
Not applicable, my first experience

Contact Information:
Your Name:
Telephone Number (XXX-XXX-XXXX):
Email Address: (user@domain.com)
Your Customer Service Representative:

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Yes
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