The phrase "highly dissatisfied" is correct and usable in written English.
You can use it to emphasize a feeling of extreme dissatisfaction with a particular situation. For example, "The customer was highly dissatisfied with the product's quality."
And with Ofcom's PSB review showing a viewing public highly dissatisfied with the lack of innovation and original ideas in broadcasting today, this can only prove timely.
According to a study published by the Cato Institute, a very small percentage -- even of the uninsured -- are "dissatisfied or highly dissatisfied" with the health care they get in other ways.
Surveys indicate that the better-off are highly dissatisfied with the service provided by their private banks, which failed to protect them from the market falls of the past 18 months.
[Editor's note: a chronology of chemical weapons use in the Iran-Iraq war compiled by Nuclear Threat Initiative (NTI) is available online: Chemical Chronology 1987; Chemical Chronology 1988-92] Mark Gibson, Portland, Oregon: From what I observe, many Iranians are already highly dissatisfied by their government, but the repressive regimes continue to hold sway.
According to Gretchen Spreitzer, professor of management and organizations at University of Michigan's Ross School of Business and coauthor of "Creating Sustainable Performance," people are highly dissatisfied when their job has no meaning or purpose to them, provides little opportunity to learn, or leaves them depleted at the end of the work day.
American workers historically have taken a pragmatic approach to this choice: they vote in favour of union representation only when they are highly dissatisfied with their employer and when they see union representation as a viable means of improving their employment conditions.
Conversely, highly disengaged and dissatisfied employees struggled with disruptions and felt they had very little control over where or how they worked.
Anderson and Srinivasan [2] declare that dissatisfied customers highly tend to go to competitors.
Although students and faculty perceive feedback to be a critical factor in reducing student errors and enhancing overall performance, faculty members or supervisors generally believe that their feedback is of high quality (i.e., timely, specific, and effective), while trainees are often dissatisfied and highly critical of this feedback (Bing-You et al. 1997; Libemeran et al. 2005).
They were asked to rate, on a five-point Likert scale, their current status with regard to knee symptoms (swelling, stiffness, etc) and pain, restriction in participation in daily living, recreational and work activities (marked worsening to marked improvement), in addition to their satisfaction with treatment outcomes (very dissatisfied to highly satisfied).
c Patient satisfaction (five point scale): 1 representing highly satisfied en 5 very dissatisfied.
