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 fell 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