Customer Satisfaction Survey

Company:

I wish to withhold my contact information

First Name:

Last Name:

Phone:

Email:

Specify your role or title:

Please rate our customer service:

	Unacceptable	Poor	Average	Good	Excellent
Calls are answered promptly and courteously
Quotes are delivered timely and accurately
Salesperson demonstrates knowledge of product
Request for returns are responded to quickly

Please rate our product delivery:

	Unacceptable	Poor	Average	Good	Excellent
Product is delivered on-time
Product is received in good condition
Required paperwork is included
Product is properly labeled and readily identifiable

Please rate our product quality:

	Unacceptable	Poor	Average	Good	Excellent
Dimensional requirements are met or exceeded
Surface finish requirements are met or exceeded
Product markings are accurate and legible
Product is free from dirt and contaminants

Please list any additional comments or concerns you may have:

I would like a customer service agent to contact me.