Disconnect Survey Employee #*Customer InformationAccount NumberFirst NameLast NamePhone #Email Which of the following services is the customer requesting to cancel?* Select All Internet Wireless Voice VoIP Voice Security Digital TV Can you tell me the primary reason for disconnecting your FTC service(s)?* Business Closing Changing Provider Changing from TV to Streaming only Changing to VoIP (Voice Only) Deceased Dissatisfied with Product or Service Dropping Service Altogether / No Longer Needed Financial Decision Product Upgrade or Downgrade Relocating Out of the Area – Military Relocating Out of the Area – Non-Military Refused to Take Survey Which Internet provider? AT&T Frontier Spectrum Verizon Other Which Wireless provider? AT&T Spectrum Wireless Sprint Straight Talk TMobile Verizon Other Which Voice provider? AT&T Frontier Spectrum Other Which VoIP provider? Frontier Spectrum Other Which Security provider? ADT CPI Do-it-yourself Simply Safe Other Which Digital TV provider? AT&T Directv Dish Spectrum Other Other ProviderIs it because of? Customer Budget Price Other Fininancial Decision Other ReasonIs it because of?Internet Bandwidth Wi-Fi Other Internet Other ReasonWireless Buyer’s Remorse Coverage Area Dropped Calls Moved to Prepaid Port Out Other Wireless Other ReasonVoiceVoice VoIPSecurity Equipment Monitoring Other Security Other ReasonDigital TV Channel Lineup Equipment Going to Streaming Only Other Digital TV Going to Streaming Only InfoDigital TV Other Reason Δ
