Payment Innovation Survey Client Questionnaire 2016

ABOUT YOURSELF

First Name: *

Last Name: *

E-mail Address:

Telephone Number: *

Organization Name: *

ABOUT YOUR COMPANY

Location:

1. Name of the company: *

2. Please state the primary or head office location of your company: *

3. Please describe the industry and specialization of your company: *

4. What is the geographical coverage you operate in? *

5. Please name the payment processing provider you would like to include in the Survey: *

6. Please name the product you would like to rate in the survey: *

7. What portion of your annual IT budget do you spend with this provider? *

CUSTOMER FEEDBACK

8. What is your overall impression about the solution? *

9. What functionalities of the solution do you find the most convenient and innovative? What changes would you recommend? *

10. Please choose one or two features below that you would like to use more in your future payment experience in general?

10. Please choose one or two features below that you would like to use more in your future payment experience in general? *

10. Please choose one or two features below that you would like to use more in your future payment experience in general? Other

Leave this field blank

Latest Issue

Free Newsletter Subscription