Scanning tunneling spectroscopy of p(2 x 2) Cs and Na ordered overlayers on Cu(111) reveals similar line widths of quasi-two-dimensional quantum well states despite largely different binding energies. Detailed calculations show that 50% of the line widths are due to electron-phonon scattering while inelastic electron-electron scattering is negligible. The mechanism of enhanced elastic scattering due to Brillouin zone backfolding contributes the remaining width.