Customer Survey Form

Important To You:
 
  1 - Low 2 3 4 5 - High
Product Quality
Customer Service
Value
On Time Delivery
Sales Representative
Product Innovation
Problem Resolution
Response Time
Communication
 
How Do You Rate Us:
 
  1 - Low 2 3 4 5 - High
Product Quality
Customer Service
Value
On Time Delivery
Sales Representative
Product Innovation
Problem Resolution
Response Time
Communication
 
Overall Satisfaction:
 
  1 - Low 2 3 4 5 - High
Satisfaction
 
Please Rate Us As Compared To Your Top Supplier
 
  Worse Equal Better
Product Quality
Service/Delivery
Value
 
Additional Comments and/or Suggestions For Improvements
 
 
Your Details
 
Customer Name
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