Name: Company:

Please check the appropriate box that most closely reflects your level of customer satisfaction. Additional comments are encouraged.

How would you rate your level of customer satisfaction with OUR COMPANY Services?

Product Quality
5
4
3
2
1
0
 

Product Performance/reliability
 

Product Meets required quality levels
 

Cosmetic apearance of labels and packaging

Comments:

Technology
5
4
3
2
1
0
 

Current capabilities
 

Anticipation of future needs
 

Knowledge of engineering staff

Comments:

Competitive Pricing
5
4
3
2
1
0
 

Price competitive within industry

Comments:

Delivery
5
4
3
2
1
0
 

Flexibility of scheduling
 

Consistently meets delivery deadlines

Comments:

Customer Service
5
4
3
2
1
0
 

Responsive to requests, order changes, etc..
 

Ease of contact
 

Problem resolution

Comments:

Would you recommend our company to other professionals in the industry?
Yes
No

Explain:

Has our company responded satisfactorily since your last survey?
Yes
No

Explain:
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