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Customer Survey

Company (*)
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Contact Person (*)
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Email (*)
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Phone # (*)
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Fax #
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Do you feel our representative(s) handle you're order(s) with due care?





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With Due Care Comments
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Are our delivery times satisfactory?





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Delivery Comments
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What improvement(s) would you suggest thatĀ could aid us to better satisfy your needs?
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Improvement Comments
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Address
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City
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Prov/State
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Postal / Zip Code
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Country
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Are you satisfied with our products and services?





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Satisfaction Comments
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Would you recommend our services to someone else?





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Recommendation Comments
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I would like a follow-up call to further discuss these points
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