Customer Survey

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Customer Satisfaction Survey

Customer’s Survey

Date

Name:

Name:

First

First

Last

Last

Company Name: *

Telephone / Reception: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our response time to your phone calls and conversation?

Complaint / Inquiry: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our response time to your complaint and request for quotes?

Product Knowledge: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our knowledge to your questions about our products?

Problem Solving: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our actions to resolve your concerns and/or issues?

Shipping / Delivery Performance: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our delivery performance?

Prices: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate our product pricing?

Product Quality: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate products quality?

Product Performance: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

How would you rate products performance?

Your overall impression: *

1 Star 2 Stars 3 Stars 4 Stars 5 Stars

Overall, how would you rate your experience with us?

Please select the item/s your purchase from us. *

Thermocouples

RTD’s

Heaters

AerOpaks (MI Cables)

Other Products

Additional comments or suggestions

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